American Journal of Medical Case Reports. 2015, 3(6), 155-157
DOI: 10.12691/AJMCR-3-6-1
Acute pancreatitis- As a Presenting Manifestation of Systemic Lupus Erythematosus
Dhrubajyoti Bandyopadhyay1, , Vijayan Ganesan2, Debarati Bhar2, Sibnarayan Sasmal2, Adrija Hajra3, Cankatika choudhury2, Diptak Bhowmick2 and Partha Sarathi Karmakar2
1Department of accident and emergency, Lady Hardinge Medical College, New Delhi
2Department of Internal Medicine, RG Kar Medical College, Kolkata
3Department of Internal Medicine, IPGMER, Kolkata
Pub. Date: May 08, 2015
Cite this paper
Dhrubajyoti Bandyopadhyay, Vijayan Ganesan, Debarati Bhar, Sibnarayan Sasmal, Adrija Hajra, Cankatika choudhury, Diptak Bhowmick and Partha Sarathi Karmakar. Acute pancreatitis- As a Presenting Manifestation of Systemic Lupus Erythematosus.
American Journal of Medical Case Reports. 2015; 3(6):155-157. doi: 10.12691/AJMCR-3-6-1
Abstract
15 years aged young girl was admitted with acute pain abdomen with distension, vomiting and fever. Patient was very sick and investigations, both blood and imaging of abdomen were suggestive of pancreatitis. This acute condition was soon followed by acute nephritis within a day or two and was established due to systemic lupus erythematosus through various investigations. Then we started treatment with high dose steroid and patient showed dramatic improvement. As a rare complication of SLE, acute pancreatitis presents as generalized flare-ups in most patients previously diagnosed with SLE. But acute pancreatitis as an initial feature of a multisystem disorder of SLE is rare and physician should remain aware of this clinical entity.
Keywords
systemic lupus erythematosus (SLE); acute pancreatitis; lupus nephritis
Copyright
This work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit
http://creativecommons.org/licenses/by/4.0/
References
[1] | Jia Y, Ortiz A, Maccallum R, Salameh H, Serrato P. Acute Pancreatitis as the Initial Presentation of Systematic Lupus Erythematosus. Case Rep Gastrointest Med. 2014 August. |
|
[2] | Makol A, Petri M. Pancreatitis in systemic lupus erythematosus: frequency and associated factors—a review of the Hopkins Lupus Cohort. Journal of Rheumatology, 2010; 37(2): 341-345. |
|
[3] | Yang Y,Ye Y, Liang L,Wu T,Zhan Z, Yang X, Xu H. Systemic-Lupus-Erythematosus-Related Acute Pancreatitis:A Cohort from South China. Clinical and Developmental Immunology. 2012. |
|
[4] | Wang CH, Yao TC, Huang YL, Ou LS, Yeh KW, and Huang JL. Acute pancreatitis in pediatric and adult-onset systemic lupus erythematosus: a comparison and review of the literature.Lupus 2011; 20(5): 443-452. |
|
[5] | Richer O, Ulinski T, Lemelle I et al.Abdominal manifestations in childhood-onset systemic lupus erythematosus.Annals of the Rheumatic Diseases, 2007; 66(2):174-178. |
|
[6] | Nwaneri UR, Callender CO, Stevens JE. Lupus pancreatitis. Journal of the National Medical Association.1995; 87(8): 575-576. |
|
[7] | Makol A, Petri M.Pancreatitis in systemic lupus erythematosus: frequency and associated factors-a review of the Hopkins Lupus Cohort. Journal of Rheumatology. 2010; 37(2):341-345. |
|
[8] | Noia JL, García FM, Ríos SS, García JI, Muñoz JED. Pancreatitis and systemic lupus erythematosus.Revista Espanola de Enfermedades Digestivas. 2009; 101(8): 571-579. |
|
[9] | Ranson JH. Diagnostic standards for acute pancreatitis. World J Surg 1997; 21: 136-142. |
|