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Refractory Chest Pain and Small-Bowel Obstruction

Marian H. Miller, MB, BS, FRACP; Murray B. Urowitz, MD, FRCP(C); Dafna D. Gladman, MD, FRCP(C); Elaine C. S. Tozman, MD, FRCP(C)

Arch Intern Med. 1984;144(9):1863-1864.

Abstract
• Serious clinical sequelae of lupus serositis are uncommon and rarely a cause of morbidity. We describe two patients, one with chronic adhesive pericarditis and one with extensive small-bowel adhesions due to lupus peritonitis. In both, delayed institution of adequate prednisone therapy may have played a contributing role.

(Arch Intern Med 1984;144:1863-1864)

Author Affiliations
From the Rheumatic Disease Unit, Wellesley Hospital, University of Toronto.

Footnotes
Accepted for publication Sept 23, 1983.

Reprint requests to Rheumatic Disease Unit, Wellesley Hospital, 160 Wellesley St E, Toronto, Ontario, Canada M4Y 1J3 (Dr Urowitz).

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