A case of systemic lupus erythematosus presenting with rectal ulcers as the initial clinical manifestation of disease

Shinsuke Yuasa, Akira Suwa, Michito Hirakata, Norifumi Hibi, Yasushi Iwao, Koichi Koizumi, Tsuneyo Mimori, Yasuo Ikeda

Research output: Contribution to journalArticle

8 Citations (Scopus)


Gastrointestinal involvement is often seen in patients with systemic lupus erythematosus (SLE). All parts of the gastrointestinal tract may be affected. However, rectal involvement at onset is rare. We describe here a case of SLE in which rectal ulcers due to vasculitis occurred as the initial manifestation of the disease without involvement of any other organ. The ulcers worsened, along with the appearance of lupus nephritis 5 years later. When steroid therapy was initiated, there was rapid clinical and radiographic improvement. Our case suggests that rectal ulcer is a rare but important complication of SLE and can represent the initial and sole clinical manifestation of the disease.

Original languageEnglish
Pages (from-to)407-410
Number of pages4
JournalClinical and experimental rheumatology
Issue number3
Publication statusPublished - 2002 May 1



  • Rectal ulcer
  • Systemic lupus erythematosus
  • Vasculitis

ASJC Scopus subject areas

  • Rheumatology
  • Immunology and Allergy
  • Immunology

Cite this