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Rheumatology 2000; 39: 445A-447
© 2000 British Society for Rheumatology

Letters to the Editor

Long-standing and intractable ascites involved in renal vein thrombosis of a patient with systemic lupus erythematosus

S. YAMASAKI, Y. KAWABE, H. NAKAMURA, H. ISHIKAWA, A. KAWAKAMI, K. MIGITA, A. KURATA and K. EGUCHI

The First Department of Internal Medicine, Nagasaki University School of Medicine, Sakamoto 1-7-1, Nagasaki 852–8501, Japan

SIR, A 34-yr-old man was referred to Nagasaki University Hospital for long-standing intractable ascites in 1998. In 1985, he developed pulmonary congestion with peripheral oedema, malar rash, and arthralgia. Laboratory study showed positive antinuclear antibodies, and decreased amounts of serum protein and complements with proteinuria (4.5 g/day). He was diagnosed as having systemic lupus erythematosus (SLE) because he satisfied four of 11 American Rheumatism Association (ARA) criteria for SLE. He was also diagnosed as having nephrotic syndrome because of massive proteinuria and decreased . . . [Full Text of this Article]

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