Fatal acute pancreatitis complicated by pancreatic pseudocysts in a patient with systemic lupus erythematosus.

Abstract:

:Pancreatitis is a relatively rare but severe manifestation in systemic lupus erythematosus (SLE) patients. We report a case of a 39-year-old woman with previous SLE diagnose treated with prednisone and mycophenolate mofetil who developed an acute pancreatitis complicated by pancreatic pseudocysts within the context of a severe lupus flare. Elevated serum amylase and computerized tomography confirmed the diagnosis and mechanical obstruction or toxic-metabolic etiologies were ruled out. In the present case, we opted for the clinical surveillance of pancreatic pseudocyst and not perform invasive medical procedures to drainage. A steroid therapy was started in order to achieve SLE and pancreatitis remission, however, it was unable to avoid the development of multiorgan failure and patient died a few days after diagnosis was made.

journal_name

Rheumatol Int

authors

Cairoli E,Pérez G,Briva A,Cancela M,Alonso J

doi

10.1007/s00296-009-0964-x

subject

Has Abstract

pub_date

2010-03-01 00:00:00

pages

675-8

issue

5

eissn

0172-8172

issn

1437-160X

journal_volume

30

pub_type

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