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Ronald E. Krauser, MD

JAMA. 1976;236(10):1149.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

SPONTANEOUS rupture of solid organs is a rare but potentially serious complication of systemic lupus erythematosus (SLE). This patient had a spontaneous rupture of the spleen in the absence of obvious splenic vasculitis or histologic abnormalities.

Report of a Case

Systemic lupus erythematosus developed in a 31-year-old woman in July 1970 after the birth of her third child. Salicylates remained her sole anti-inflammatory therapy, except for a brief course of systemically administered corticosteroids in 1972 for pleuritic chest pain. On the night of April 1, 1974, the patient awoke with nausea and vomiting followed by moderate left upper-quadrant and left flank pain. She denied antecedent trauma, and there was no prior history of splenic enlargement or coagulation abnormalities.

The patient's blood pressure was 100/60 mm Hg and her pulse was 110 beats per minute and regular. The abdomen was distended, with moderate tenderness, guarding, and rebound being most pronounced in . . . [Full Text PDF of this Article]

Author Affiliations
From the Rheumatology Section, Naval Regional Medical Center, Portsmouth, Va.

Footnotes
Reprint requests to Suite 209, 30 S Valley Rd, Paoli, PA 19301 (Dr Krauser).

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