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Korean J Gastroenterol  <  Volume 73(5); 2019 <  Articles

Korean J Gastroenterol 2019; 73(5): 299-302  https://doi.org/10.4166/kjg.2019.73.5.299
Rectal Ulcer Developed in Systemic Lupus Erythematosus without Ischemic Colitis
Ki Chang Sohn, Won Gak Heo, Min Su Chu, Eui Joong Kim, Jong Hyeok Chung, Suck Chei Choi, Ki Jung Yun1 and Geom Seog Seo
Departments of Internal Medicine and Pathology1, Wonkwang University School of Medicine, Iksan, Korea
Correspondence to: Geom Seog Seo, Department of Internal Medicine, Wonkwang University School of Medicine, 460 Iksan-daero, Iksan 54538, Korea. Tel: +82-63-859-2565, Fax: +82-63-855-2025, E-mail: medsgs@wonkwang.ac.kr, ORCID: https://orcid.org/0000-0001-8789-7989
Received: November 27, 2018; Revised: January 9, 2019; Accepted: January 27, 2019; Published online: May 25, 2019.
© The Korean Journal of Gastroenterology. All rights reserved.

This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Rectal involvement by systemic lupus erythematosus (SLE) is quite rare. Approximately 14 cases have been reported worldwide, but only one with ischemic colitis has been reported in Korea. A 17-year-old female patient was hospitalized with abdominal pain and hematochezia. Sigmoidoscopy revealed only a simple rectal ulcer without ischemic colitis. cytomegalovirus and bacterial infections were excluded. A sigmoidoscopic rectal biopsy indicated a rectal invasion by SLE, but the patient showed an acute worsening conditions that did not respond to treatment. This paper reports a case of rectal ulcer that developed in SLE without ischemic colitis with a review of the relevant literature.
Keywords: Lupus erythematosus, systemic; Rectal ulcer; Colitis, ischemic


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