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Akut abdominal vaskulitis ved reumatologiske sygdomme

Forfattere
Line Uhrenholt1, Lars S. Jensen2, Thomas S. Jakobsen3, Salome Kristensen1, Jens Frederik Dahlerup4, Einar Pahle2 & Michael F. Nielsen2, 5 1) Reumatologisk Afdeling, Aalborg Universitetshospital 2) Kirurgisk Afdeling, Regionshospital Viborg 3) Medicinsk Afdeling, Regionshospital Viborg 4) Medicinsk Afdeling V, Aarhus Universitetshospital 5) Department of Upper GI Surgery, Royal Infirmary of Edinburgh Ugeskr Læger 2018;180:V05170419
Reference: 
Ugeskr Læger 2018;180:V05170419
Sidetal: 
2-8
Acute abdominal vasculitis in rheumatic diseases
Mesenteric vasculitis is the most common abdominal manifestation of vasculitis and can present as acute abdominal pain. Mesenteric vasculitis is most frequent in systemic lupus erythematosus and polyarteritis nodosa in adulthood and immunoglobulin A-vasculitis in childhood. Involvement of other organs is also seen. The diagnosis can be challenging, but detailed clinical assessment in combination with diagnostic tests often identifies the underlying cause. Medical treatment is used, when the abdominal manifestation is considered reversible, while surgery is used in unstable patients or patients with non-reversible conditions.

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