The emergence of bladder dysfunction secondary to lupus cystitis in a patient with established lupus nephritis: the first case from Pakistan


The emergence of bladder dysfunction secondary to lupus cystitis in a patient with established lupus nephritis: the first case from Pakistan


Naveed Ahmed Mahar1, Syed Arsalan Shehzad Shah2, Hira Maab3, Sara Rasheed Kalwar2, Murli Lal4, Asad Shahzad Hassan4

1Assistant Professor, Department of Urology, Sindh Institute of Urology and Transplantation, Pakistan; 2Resident MS Urology, Department of Urology, Sindh Institute of Urology and Transplantation, Pakistan; 3Department of Internal Medicine, Dow University of Health Sciences, Civil Hospital Karachi, Pakistan; 4Professor, Department of Urology, Sindh Institute of Urology and Transplantation, Pakistan


Lupus cystitis is an uncommon manifestation of systemic lupus erythematosus (SLE). We describe the case of a 23-year-old woman with lupus that complained of abdominal pain, vomiting, and diarrhea for one week. Two years back, she was brought with an affirmative history that satisfied the clinical criteria of SLE which was renal biopsy-proven (class V membranous lupus nephritis). On radiologic workup, she was found to have bilateral hydronephrosis and a thick-walled bladder with diverticula. Immunosuppressive therapy was commenced however augmentation cystoplasty had to be opted for as the symptoms did not subside with medical therapy alone.


Keywords: Lupus cystitis systemic lupus erythematosus lupus nephritis

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How to cite this article:

Naveed Ahmed Mahar, Syed Arsalan Shehzad Shah, Hira Maab, Sara Rasheed Kalwar, Murli Lal, Asad Shahzad Hassan. The emergence of bladder dysfunction secondary to lupus cystitis in a patient with established lupus nephritis: the first case from Pakistan. International Journal of Case Reports, 2021; 5:253. DOI: 10.28933/ijcr-2021-11-0505


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