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Acute acalculous cholecystitis in juvenile systemic lupus erythematosus

2009; SAGE Publishing; Volume: 18; Issue: 6 Linguagem: Inglês

10.1177/0961203308098587

1477-0962

José Luiz Lima de Mendonça, J. F. Marques-Neto, P Prando, Simone Appenzeller,

Liver Diseases and Immunity

Small- and medium-vessel vasculitis is a common manifestation in systemic lupus erythematosus (SLE) and may occur in any organ. However, acute acalculous cholecystitis is a rare abdominal manifestation in SLE, especially in children. We report a case of a 12-year-old patient who initially presented with AAC and seizure. Follow-up investigation diagnosed SLE, and brain magnetic resonance imaging had hyperintense white matter lesions in cortico-subcortical regions. The patient was successfully treated with pulse methylprednisolone and cyclophosphamide without surgical intervention.