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Lupus
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case-report

Lupus cystitis: a case report and review of the literature

A Shimizu

Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi, Japanashimizu{at}med.gunma-u.ac.jp

A Tamura

Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi, Japan

O Tago

Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi, Japan

M Abe

Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi, Japan

Y Nagai

Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi, Japan

O Ishikawa

Department of Dermatology, Gunma University Graduate School of Medicine, Maebashi, Japan

Lupus cystitis is a rare complication associated with systemic lupus erythematosus (SLE). This rare disorder has been reported mainly from East Asia, especially from Japan. In this study, we describe a patient with lupus cystitis and review 37 reported cases in Japan. Bowel symptoms preceded urinary symptoms in 13 of 37 (35%) patients, whereas five patients complained of only bowel symptoms. Hydronephrosis was detected in 34 of 37 patients (92%). The possibility of lupus cystitis should be considered when patients complain of bowel or urinary symptoms. Examination for hydronephrosis is critical for diagnosis.

Key Words: hydronephrosis • lupus cystitis • systemic lupus erythematosus

Lupus, Vol. 18, No. 7, 655-658 (2009)
DOI: 10.1177/0961203308099634
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