Atypical presentation of systemic lupus erythematosus flare with ileocecal ulceration and lymphadenopathy in a tuberculosis-endemic region
This case highlights that in TB-endemic regions, clinicians should consider lupus enteritis as a differential diagnosis in patients with nonspecific gastrointestinal lesions and lymphadenopathy, even when tuberculosis is a common concern. False-negative ANA ELISA and indeterminate TB-IGRA results can delay diagnosis. Lymphadenopathy, although not included in current lupus classification criteria, may be an important clinical clue for lupus flares.
Authors
- Huong Tu Lam (ORCID: https://orcid.org/0000-0002-3553-856X)
- Tan A. Nguyen (ORCID: https://orcid.org/0000-0003-2696-9170)
- Nguyen Khoi Huynh (ORCID: https://orcid.org/0000-0002-8566-5532)
- Tien Manh Huynh (ORCID: https://orcid.org/0000-0002-8233-8202)
- Tran Vo
- Dong‐Hoon Yang (ORCID: https://orcid.org/0000-0001-7756-2704)
Institutions
- Ulsan College (KR)
- Cho Ray Hospital (VN)
- University of Medicine and Pharmacy at Ho Chi Minh City (VN)
- University of Ulsan (KR)
- University Medical Center HCMC (VN)
Publication Details
- Journal
- Medicine
- Published
- 2025-10-17
- DOI
- https://doi.org/10.1097/md.0000000000044964
- Primary Topic
- Diagnosis and treatment of tuberculosis
- Type
- article
- Field-Weighted Citation Impact
- 0.00