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Case Studies | Pediatrics | India | Volume 13 Issue 10, October 2024 | Popularity: 4.4 / 10

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Management of Acute Gastrointestinal Complications in a Paediatric Patient with Overlapping Systemic Lupus Erythematosus, Scleroderma, and Polymyositis Overlap

Dr. Wajeeha Qhudsia Siddiqua, Dr. Ayesha Sara, Dr. Pranitha Rachel, Dr. Nabeela Fatima, Dr. Ayesha Ambereen, Dr. P Sandya

Abstract: Gastrointestinal complications in Systemic Lupus Erythematosus (SLE) are relatively common and can range from mild symptoms like nausea and abdominal pain to severe conditions such as bowel infarction, driven by the disease's systemic inflammatory effects and associated treatment regimens. This case study outlines the management of acute gastrointestinal complications in a 15-year-old female with overlapping SLE, scleroderma, and polymyositis. She presented with severe abdominal symptoms, treated initially with fluids, antibiotics, and stool disimpaction. Persistent issues led to a diagnosis of colonic pseudo-obstruction, managed with prucalopride, laxatives, and supportive care. Immunosuppressive therapy and nutritional support via TPN were crucial. This case emphasizes the complexities of managing gastrointestinal issues in pediatric patients with multiple autoimmune disorders, highlighting the need for a multidisciplinary and tailored approach.

Keywords: SLE, Scleroderma, Polymyositis, chronic pseudo intestinal obstruction, gastrointestinal complications

Edition: Volume 13 Issue 10, October 2024

Pages: 81 - 84

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