Systemic lupus erythematosus (SLE) is a systemic autoimmune disorder. When it presents before the age of 18 years (childhood-onset systemic lupus erythematosus, cSLE), the disease course tends to be more severe with a higher rate of organ involvement and requires an early diagnosis. Gastrointestinal involvement in cSLE is rare and scarcely reported in the literature. Any organ of the gastrointestinal system may be affected, either as a direct consequence of the disease, as a subsequent complication, or as an adverse drug event. Abdominal pain is the most common GI symptom, it can be diffuse or well localized, and can underline different conditions such as hepatitis, pancreatitis, appendicitis, peritonitis, or enteritis. cSLE may have an alteration of the intestinal barrier with features of protein-losing enteropathy or, in genetically predisposed patients, may develop associated autoimmune disorders such as Coeliac Disease or Autoimmune Hepatitis. The aim of this manuscript is to provide a narrative review of gastrointestinal manifestations in cSLE focused on hepatic, pancreatic, and intestinal involvement. A comprehensive literature search based on the PubMed database was performed.

Gastrointestinal Involvement in Children with Systemic Lupus Erythematosus / Mauro, Angela; Giani, Teresa; Di Mari, Clelia; Sandini, Martina; Talenti, Antonella; Ansuini, Valentina; Biondi, Luigi; Di Nardo, Giovanni; Bernardo, Luca. - In: CHILDREN. - ISSN 2227-9067. - 10:2(2023), pp. 1-15. [10.3390/children10020309]

Gastrointestinal Involvement in Children with Systemic Lupus Erythematosus

Di Nardo, Giovanni;
2023

Abstract

Systemic lupus erythematosus (SLE) is a systemic autoimmune disorder. When it presents before the age of 18 years (childhood-onset systemic lupus erythematosus, cSLE), the disease course tends to be more severe with a higher rate of organ involvement and requires an early diagnosis. Gastrointestinal involvement in cSLE is rare and scarcely reported in the literature. Any organ of the gastrointestinal system may be affected, either as a direct consequence of the disease, as a subsequent complication, or as an adverse drug event. Abdominal pain is the most common GI symptom, it can be diffuse or well localized, and can underline different conditions such as hepatitis, pancreatitis, appendicitis, peritonitis, or enteritis. cSLE may have an alteration of the intestinal barrier with features of protein-losing enteropathy or, in genetically predisposed patients, may develop associated autoimmune disorders such as Coeliac Disease or Autoimmune Hepatitis. The aim of this manuscript is to provide a narrative review of gastrointestinal manifestations in cSLE focused on hepatic, pancreatic, and intestinal involvement. A comprehensive literature search based on the PubMed database was performed.
2023
autoimmune hepatitis; childhood-onset systemic lupus erythematosus; children; gastrointestinal involvement; intestinal pseudo-obstruction; mesenteric vasculitis; pancreatitis; peritonitis; review
01 Pubblicazione su rivista::01g Articolo di rassegna (Review)
Gastrointestinal Involvement in Children with Systemic Lupus Erythematosus / Mauro, Angela; Giani, Teresa; Di Mari, Clelia; Sandini, Martina; Talenti, Antonella; Ansuini, Valentina; Biondi, Luigi; Di Nardo, Giovanni; Bernardo, Luca. - In: CHILDREN. - ISSN 2227-9067. - 10:2(2023), pp. 1-15. [10.3390/children10020309]
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/11573/1674632
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