Abstract
Sistemik Lupus Eritomatoz SLE birçok organ ve sistemi tutabilen otoimmün hastalıktır. Mesane tutulumu ve semptomları ise nadir görülür. SLE mesanede mukoza tutulumu ile sistit; nörolojik tutulum ile nörojenik mesane veya obstrüktif üropatolojilere neden olur. SLE nedeniyle 12 yıldır takipli, düzensiz kortikosteroid kullanımı olan, 2 ayda 3 defa akut idrar retansiyonu gelişen, yapılan basınç akım çalışmasında obstrüktif üropatoloji saptanan, bu nedenle transüretral sonda takılarak yoğun kortikosteroid tedavisi sonrası şikayetleri düzelen olgu sunuldu
References
- Kinoshita K, Kishimoto K, Shimazu H. Two cases of lupus cystits with no bladder irritaition symptoms. J Intern Med 2008; 265:1477-9
- Duffy KN, Duffy CM, Gladman DD. Infection and disease activity in systemic lupus erythematosus: a rewiew of hos- pitalized patients. J Rheumatol 1991; 18:1180-1184
- Haarala M., Alanen A., Hietarinta M., Kiilholma P. Lower uriner tract symptoms in patients with Sjögren’s syndrome and systemic lupus erythematosus. Int Urogynecol J Pelvic Floor Dysfunc.2000; 11(2):84-6.
- Edworthy SM. Clinical manifestations of systemic lupus erythematosus. In: Rudy S, Harris ED, Sledge CB, editors. Kelly’s textbook of rheumatology. 6th ed. Philedelphia: Sa- unders; 2001; p.1105-23
- Weisman MH, McDonald EC, Wilson CB. Studies of pat- hogenesis of interstitial cystitis, obstructive uropathy and intestinal malabsorption in a patient with systemic lupus erythematosus. Am J Med 1981; 70:875-81
- Koike T, Takabayashi K. Lupus cystitis in the Japanese. In- tern Med 1996; 35:87-8
- Alarcon-Segovia D, Abud- Mendoza C, Reyes-Gutierrez E, Iglesias-Gamarra A, Diaz- Jouanen E. Involvement of uri- nery bladder in systemic lupus erythematosus: a patholo- gic study. J Rheumatol 1984; 11:208-10
- Hong-Jeng Y, Wei-Chai L, Kuang-Lun L, Mao-Yuan C, Cheng-Yuan C, Jun C. Voiding dysfunction in women with systemic lupus erythematosus. Arthritis and Rheumatism 2004; 50:166-72
- Min JK, Byun JY, Lee SH, Hong YS, Park SH, Cho CS, Kim HY. Urinary bladder involvement in patients with systemic lupus erythematosus: with rewiew of the literature. Korean J Intern Med. 2000; 15(1):42-50
- Kelly AH, Melissa RK, Justin MC, Sam SC. Inflammatory myofibroblastic tumor of the urinary bladder in 27-year- old woman with systemic lupus erythematosus. Int J of Urol 2008; 15:182-84
- Akiteka R, Nakase H, Ueno S, Miyamoto S, Iehara N, Chi- ba T. Involvement of lupus enteritis in a patient with lupus cystitis and nephritis. Digestion 2009; 80:160-164
Abstract
Systemic Lupus Erythematosus SLE is an autoimmune disease that can involvemany organs and systems. Bladder involvement and symptoms are rare. In SLE mucosal involvement cause cystitis and with neurological involvement causing obstruction and neurogenic bladder. We report the patient who followed for SLE about 12 years, irregular usage of corticosteroids, was developing acute urinary retention 2 months 3 times, obstruction identified with pressure-flow study, treated with a transurethral catheter and intensive corticosteroid therapy
References
- Kinoshita K, Kishimoto K, Shimazu H. Two cases of lupus cystits with no bladder irritaition symptoms. J Intern Med 2008; 265:1477-9
- Duffy KN, Duffy CM, Gladman DD. Infection and disease activity in systemic lupus erythematosus: a rewiew of hos- pitalized patients. J Rheumatol 1991; 18:1180-1184
- Haarala M., Alanen A., Hietarinta M., Kiilholma P. Lower uriner tract symptoms in patients with Sjögren’s syndrome and systemic lupus erythematosus. Int Urogynecol J Pelvic Floor Dysfunc.2000; 11(2):84-6.
- Edworthy SM. Clinical manifestations of systemic lupus erythematosus. In: Rudy S, Harris ED, Sledge CB, editors. Kelly’s textbook of rheumatology. 6th ed. Philedelphia: Sa- unders; 2001; p.1105-23
- Weisman MH, McDonald EC, Wilson CB. Studies of pat- hogenesis of interstitial cystitis, obstructive uropathy and intestinal malabsorption in a patient with systemic lupus erythematosus. Am J Med 1981; 70:875-81
- Koike T, Takabayashi K. Lupus cystitis in the Japanese. In- tern Med 1996; 35:87-8
- Alarcon-Segovia D, Abud- Mendoza C, Reyes-Gutierrez E, Iglesias-Gamarra A, Diaz- Jouanen E. Involvement of uri- nery bladder in systemic lupus erythematosus: a patholo- gic study. J Rheumatol 1984; 11:208-10
- Hong-Jeng Y, Wei-Chai L, Kuang-Lun L, Mao-Yuan C, Cheng-Yuan C, Jun C. Voiding dysfunction in women with systemic lupus erythematosus. Arthritis and Rheumatism 2004; 50:166-72
- Min JK, Byun JY, Lee SH, Hong YS, Park SH, Cho CS, Kim HY. Urinary bladder involvement in patients with systemic lupus erythematosus: with rewiew of the literature. Korean J Intern Med. 2000; 15(1):42-50
- Kelly AH, Melissa RK, Justin MC, Sam SC. Inflammatory myofibroblastic tumor of the urinary bladder in 27-year- old woman with systemic lupus erythematosus. Int J of Urol 2008; 15:182-84
- Akiteka R, Nakase H, Ueno S, Miyamoto S, Iehara N, Chi- ba T. Involvement of lupus enteritis in a patient with lupus cystitis and nephritis. Digestion 2009; 80:160-164
Details
| Primary Language | Turkish |
|---|---|
| Journal Section | Case Report |
| Authors | |
| Publication Date | May 1, 2012 |
| Published in Issue | Year 2012 Volume: 7 Issue: 2 |