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Ascites disclosing systemic lupus erythematosus

Ascites disclosing systemic lupus erythematosus

Gastroenterologie Clinique et Biologique 10(12): 845-847

We report the case of a 38-year old woman with massive ascites. No cause could be demonstrated despite multiple investigations. The patient was febrile and had an elevated erythrocyte sedimentation rate. Systemic lupus erythematosus was subsequently diagnosed, when malar rash, arthritis, leucopenia, anti-native DNA and anti-Sm antibodies appeared. Ascites and lupus manifestations resolved simultaneously on steroid therapy. This unusual cause of ascites should be recognized, since it responds favorably to steroid therapy.

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Accession: 039327007

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PMID: 3803826

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