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Lupus
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case-report

Acute acalculous cholecystitis in juvenile systemic lupus erythematosus

JA Mendonça

Rheumatology Service, Hospital Vera Cruz, Campinas, Sao Paulo, Brazil

JF Marques-Neto

Rheumatology Service, Hospital Vera Cruz, Campinas, Sao Paulo, Brazil; Rheumatology Unit, Department of Internal Medicine, State University of Campinas Faculty of Medical Sciences, Campinas, Sao Paulo, Brazil

P Prando

Rheumatology Service, Hospital Vera Cruz, Campinas, Sao Paulo, Brazil

S Appenzeller

Rheumatology Unit, Department of Internal Medicine, State University of Campinas Faculty of Medical Sciences, Campinas, Sao Paulo, Brazil appenzellersimone{at}yahoo.com

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.

Key Words: abdominal pain • acute acalculous cholecystitis • SLE

Lupus, Vol. 18, No. 6, 561-563 (2009)
DOI: 10.1177/0961203308098587
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