A Rare Case of Systemic Lupus Erythematosus with Concomitant Inflammatory Bowel Disease: A Diagnostic and Therapeutic Challenge
DOI:
https://doi.org/10.37275/bsm.v9i4.1248Keywords:
Autoimmune disease, Crohn's disease, Inflammatory bowel disease, Systemic lupus erythematosus, Ulcerative colitisAbstract
Background: Systemic lupus erythematosus (SLE) and inflammatory bowel disease (IBD) are chronic conditions with complex pathophysiologies. While both diseases can affect the gastrointestinal tract, their co-occurrence is rare and presents unique diagnostic and therapeutic challenges. This case report describes a patient with SLE who developed IBD, highlighting the complexities of managing such cases.
Case presentation: A 27-year-old female with a history of SLE presented with hematochezia, abdominal pain, and weight loss. A colonoscopy revealed findings consistent with IBD. The patient's SLE was well-controlled on immunosuppressive therapy, but the addition of IBD required careful medication adjustments to manage both conditions effectively.
Conclusion: The coexistence of SLE and IBD is an uncommon but significant clinical scenario. This case underscores the importance of a thorough evaluation of IBD in SLE patients presenting with gastrointestinal symptoms. Furthermore, it emphasizes the need for a multidisciplinary approach to optimize treatment strategies and improve patient outcomes.
Authors
- Made Cantika Kumara Dipa1*
- Ketut Suryana1
- 1Department of Internal Medicine, Wangaya Regional Hospital, Denpasar, Indonesia
Corresponding author Made Cantika Kumara Dipa — madecantikakumaradipa@gmail.com
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