Korean J Gastroenterol.  2019 May;73(5):299-302. 10.4166/kjg.2019.73.5.299.

Rectal Ulcer Developed in Systemic Lupus Erythematosus without Ischemic Colitis

  • 1Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea. medsgs@wonkwang.ac.kr
  • 2Department of Pathology, Wonkwang University School of Medicine, Iksan, Korea.


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.


Lupus erythematosus, systemic; Rectal ulcer; Colitis, ischemic
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