狼瘡性膀胱炎罕見病例報告
鄒凱亦、劉胤廷、藍祺昀、胡書維、吳佳璋、陳冠州
行政院衛生福利部雙和醫院 泌尿科
Lupus cystitis presenting with Lower urinary tract symptoms: A case report
Kai-Yi Tzou, Yin-Ting Liu, Chi-Yun Lan, Su-Wei Hu, Chia-Chang Wu, Kuan-Chou Chen
Department of Urology, Taipei Medical University-Shuang Ho Hospital, New Taipei, Taiwan
Abstract
Hemorrhagic cystitis is a rare manifestation of systemic lupus erythematosus (SLE), but potentially life-threatening complication. We report a 45-year-old man with newly diagnostic SLE who suffered from irritative lower urinary tract symptoms and gross hematuria. Cystoscopy revealed severe diffuse inflammation, erythema and hemorrhage at the trigone with punctate extensions to the posterior wall. Severe hemorrhagic cystitis were diagnosed. Initially, he received medical treatment, frequent red blood cell and platelet transfusions, continuous bladder irrigation, electrocoagulation and blood clots evacuation. After he was treated with prednisone, his symptoms and cystoscopy findings
improved.