NDLI: Neuroendokrine Tumoren des Magens bei einer Patientin mit systemischem Lupus erythematodes.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Döcker, D. Marx, U. Braun, B.
Description	Author Affiliation: Döcker D ( Medizinische Klinik I, Klinikum am Steinenberg, Kreiskliniken Reutlingen gGmbH, Reutlingen. braun_b@kreisklinikenreutlingen.de)
Abstract	HISTORY AND CLINICAL FINDINGS: A 56-year-old woman presented with pronounced petechia. She complained about recurrent fever and night sweat for two weeks, having felt unwell during the past years. INVESTIGATIONS: Laboratory examinations showed thrombocytopenia, leukopenia and considerably elevated liver enzymes. Antinuclear antibodies and antibodies against double-stranded DNA were positive. Sonography showed a slightly enlarged liver with multiple surrounding lymph nodes, splenomegaly and chronic-atrophic thyroiditis. Gastroscopy revealed several polypes which were immunohistochemically classified as neuroendocrine tumors (NET). DIAGNOSIS, TREATMENT AND COURSE: Systemic lupus erythematosus (SLE) with involvement of several organs was diagnosed and high doses of steroids were given. The steroid was then gradually reduced and changed to azathioprine. The NET were removed endoscopically. CONCLUSION: Neuroendocrine tumors are rare and localised to the stomach in only 2 - 4 %. Only three cases of gastric NET in the context of SLE with autoimmune gastritis have been reported so far in the literature.
File Format	HTM / HTML
ISSN	00120472
Issue Number	36
Volume Number	135
e-ISSN	14394413
Journal	DMW - Deutsche Medizinische Wochenschrift
Language	German
Publisher	Thieme Medical Publishers
Publisher Date	2010-09-01
Publisher Place	Germany
Access Restriction	Subscribed
Subject Keyword	Discipline Medicine Lupus Erythematosus, Systemic Complications Neuroendocrine Tumors Stomach Neoplasms Antibodies, Antinuclear Analysis Azathioprine Therapeutic Use Dna Immunology Female Gastroscopy Humans Immunosuppressive Agents Diagnosis Drug Therapy Middle Aged Surgery Steroids Case Reports English Abstract Journal Article
Alternative Title	Gastric neuroendocrine tumors in a woman with systemic lupus erythematosus
Content Type	Text
Resource Type	Case study Article
Subject	Medicine

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