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Cellini C et al. - Acute abdomen in patients with systemic lupus erythematosus (SLE) can pose a diagnostic and therapeutic challenge. Most of these patients are on chronic steroid treatment which may mask symptoms and lead to delay in diagnosis. Delay in diagnosis and treatment can increase mortality. Lupus-associated vasculitis is reported to be the cause of acute abdomen in up to 60% of SLE patients. The authors report a case of a female patient who was referred to us with symptoms of acute abdomen due to appendicitis associated with vasculitis.


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