Ascitis como presentación de lupus eritematoso sistémico

Se presenta el caso de una paciente de 40 anos quien ingreso por presentar ascitis de cinco dias de evolucion mas dolor abdominal. El estudio de liquido ascitico fue un exudado con resultados negativos para las enfermedades comunes. Se les hallo anticuerpos antinucleares y anti-ADN positivos con baja actividad de complemento. La biopsia renal revelo una glomerulonefritis lupica de grado IV. Recibio prednisona oral y un pulso de ciclofosfamida, y la ascitis se resolvio gradualmente. A 40 year-old female patient was admitted to the hospital with ascites and abdominal pain developed in the last five days. The ascitic fluid was an exudate with negative results for common diseases. Antinuclear antibodies and anti-DNA were positive and a low activity of serum complement was found. The renal biopsy disclosed a lupus glomerulonephritis grade IV. She received oral prednisone and a pulse of cyclophosphamide with gradual resolution of the ascites.