Gastroenterology Research, ISSN 1918-2805 print, 1918-2813 online, Open Access
Article copyright, the authors; Journal compilation copyright, Gastroenterol Res and Elmer Press Inc
Journal website http://www.gastrores.org

Case Report

Volume 11, Number 4, August 2018, pages 321-325

A Rare Case of Systemic Lupus Erythematosus with Gastric Ulcer and Acute Pancreatitis: A Case Report and Literature Review

Figures

Figure 1.
Figure 1. CT scan of the abdomen showing acute pancreatitis (arrow).
Figure 2.
Figure 2. Gastric ulcer with the visible vessel in the lesser curvature (arrow).
Figure 3.
Figure 3. Gastric ulcer in the lesser curvature post hemostatic clipping (arrow).
Figure 4.
Figure 4. Histology (gastric mucosa) showing chronic inflammation.
Figure 5.
Figure 5. CT scan of the lung showing cryptogenic complex organizing pneumonia (arrow).

Table

Table 1. Significant Laboratory Data at Admission
 
Laboratory dataValueReference range
White blood cell count6.3 µ/L4.5 - 11µ/L
Hemoglobin5.7 g/dL12 - 15 g/dL
Hematocrit17.40%35-46%
Platelet count18,000/mm3150,000 -400,000/mm3
BUN59 mg/dL8 - 20 mg/dL
Serum creatinine2 mg/dL0.4 - 1.3 mg/dL
Albumin1.2 g/dL3.5 - 5.8 g/dL
Amylase979 U/L28 - 100 U/L
Lipase5039 U/L22 - 51 U/L
ESR97 MM/HR0 - 20 MM/HR
CRP6 mg/L0.0 - 4.9 mg/L
Serum triglycerides348 mg/dL0 - 149 mg/dL
Serum calcium8.7 mg/dL8.9 - 10.3 mg/dL
Antinuclear antibody titres1:160< 1:40
Complement C320 mg/dL82 - 167 mg/dL
Complement C45 mg/dL14 - 44 mg/dL
Total complement ( CH 50)< 12 mg/dL42 - 60 mg/dL
Ant-double stranded DNA antibody> 300 IU/mL0 - 9 IU/mL
Anti-Smith antibody1 AI0.0 - 0.9 AI
Sjogren’s antibody2.3 AI0.0 - 0.9 AI
Antiribosomal P protein antibodies> 8 AI0.0 - 0.9 AI
Serum IgG4 levels80 mg/dL< 140 mg/dL