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  • Title: [A case of Sjögren's syndrome and systemic lupus erythematosus complicated with necrotizing angiitis of the gallbladder].
    Author: Suwa A, Hama N, Kawai S, Ishiyama K, Tanabe M, Yamada T, Goto M, Nakajima A, Kashiwazaki S, Inada S.
    Journal: Ryumachi; 1995 Dec; 35(6):904-9. PubMed ID: 8720268.
    Abstract:
    A 71 year-old man with Sjogren's syndrome and systemic lupus erythematosus was admitted to our hospital because of abdominal pain and fever. Laboratory investigation showed an ESR of 76 mm/hr, elevation of CRP and marked leukocytosis. Abdominal ultrasound and CT scan showed enlargement of the gallbladder and intravesicular sludge without stones. With a clinical diagnosis of acute cholecystitis and pan-peritonitis, the surgical procedures including cholecystectomy were performed. Histological examination of the gallbladder showed a presence of necrotizing angiitis of small arteries. The postoperative course was uneventful with daily administration of 10 mg of prednisolone.
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