Simultaneous herpes simplex virus esophagitis and lupus enteritis in a patient with systemic lupus erythematosus

Hideki WakuiDepartment of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, JapanCorrespondence[email protected]

Masaru TogashiDepartment of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan

Ayumi OmokawaDepartment of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan

Shin OkuyamaDepartment of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan

Rie MasaiDepartment of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan

Atsushi KomatsudaDepartment of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan

Hitoshi OgasawaraSecond Department of Internal Medicine, Odate Municipal General Hospital, Odate, Japan

Ken-ichi SawadaDepartment of Hematology, Nephrology, and Rheumatology, Akita University Graduate School of Medicine, 1-1-1 Hondo, Akita 010-8543, Japan

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Abstract

A 52-year-old woman with a 6-year history of systemic lupus erythematosus (SLE) developed acute abdominal pain, nausea, vomiting, and diarrhea accompanied by hypocomplementemia. Herpes simplex virus (HSV) esophagitis and lupus enteritis were diagnosed on the basis of the results of endoscopic and histological examinations and abdominal computed tomography (CT) findings. Treatment with acyclovir followed by high-dose intravenous steroids improved her symptoms. To our knowledge, this is the first case of simultaneous HSV esophagitis and lupus enteritis.

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Simultaneous herpes simplex virus esophagitis and lupus enteritis in a patient with systemic lupus erythematosus

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Simultaneous herpes simplex virus esophagitis and lupus enteritis in a patient with systemic lupus erythematosus

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