Systemic Lupus Erythematosus as an Unusual Cause of Intussusception in a Sudanese Woman: Case Report

September 2021 in “ Authorea (Authorea) ”

Salwa Dafa Allah Salih Mohammadeen, Amar F.Eldow, Rania Eisa Abdelmutalib, Sara galal osman hamza, Elnour Mohammed Elagib, huyam H.Awadalla, Abubkar Hassan, Abdelkareem A.Ahmed, Mohammed Elmujtba Adam Essa

systemic lupus erythematosus SLE hair loss skin rash

TLDR Systemic lupus erythematosus caused severe abdominal issues in a Sudanese woman.

A 40-year-old Sudanese woman presented with systemic lupus erythematosus (SLE) manifesting as multiple joint pain, skin rash, chest pain, hair loss, and intussusception, which is a rare initial presentation of SLE. She underwent bowel resection, and histopathology confirmed intussusception without malignancy or infection. Post-operatively, she was treated with prednisone, hydroxychloroquine, azathioprine, and lisinopril, but continued to require hemodialysis due to grade 4 lupus nephritis. This case highlighted the unusual occurrence of intussusception as a complication of SLE, with only seven similar cases reported in the literature.

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