Lupus-associated pancreatitis complicated by pancreatic pseudocyst and central nervous system vasculitis
Identifieur interne : 001852 ( Main/Exploration ); précédent : 001851; suivant : 001853Lupus-associated pancreatitis complicated by pancreatic pseudocyst and central nervous system vasculitis
Auteurs : Ds Myung [Corée du Sud] ; Tj Kim [Corée du Sud] ; Sj Lee [Corée du Sud] ; Sc Park [Corée du Sud] ; Js Kim [Corée du Sud] ; Jc Kim [Corée du Sud] ; W. Yoon [Corée du Sud] ; Ss Lee [Corée du Sud] ; Yw Park [Corée du Sud]Source :
- Lupus [ 0961-2033 ] ; 2009-01.
English descriptors
- Teeft :
- Acute pancreatitis, Cerebral hemispheres, Chonnam, Epigastric, Epigastric pain, Erythematosus, Gwangju, Ivmp, Lupus, Methylprednisolone, Oral prednisolone, Pancreas, Pancreatic, Pancreatic pseudocyst, Pancreatic pseudocysts, Pancreatitis, Percutaneous, Percutaneous drainage, Pseudocyst, Pseudocysts, Resonance imaging, Rheumatol, Surgical, Systemic lupus erythematosus, Vasculitis.
Abstract
Pancreatitis is an uncommon manifestation of systemic lupus erythematosus (SLE), but this can occasionally cause major complications. We report in this article, a case of 33-year-old female patient who developed lupus-associated pancreatitis that was subsequently complicated by pancreatic pseudocyst and central nervous system (CNS) vasculitis. Abdominal computed tomography (CT) showed an oedematous swelling of the pancreas and a pseudocyst measuring 4 × 3 cm2. Brain magnetic resonance imaging (MRI) showed multiple high–signal intensity lesions in both cerebral hemispheres. The pseudocyst did not completely resolve with high-dose steroid therapy, and it was later complicated by infection and rupture. After a surgical drainage for the complicated pseudocyst, her clinical symptoms and signs were markedly improved. This case shows the importance of performing early drainage rather than conservative treatment for a pancreatic pseudocyst in a patient with lupus-associated pancreatitis.
Url:
DOI: 10.1177/0961203308093462
Affiliations:
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Yoon</name><affiliation wicri:level="1"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Diagnostic Radiology, Chonnam National University Medical School and Hospital, Gwangju</wicri:regionArea><wicri:noRegion>Gwangju</wicri:noRegion></affiliation></author><author wicri:is="90%"><name sortKey="Lee, Ss" sort="Lee, Ss" uniqKey="Lee S" first="Ss" last="Lee">Ss Lee</name><affiliation wicri:level="1"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Rheumatology, Chonnam National University Medical School and Hospital, Gwangju</wicri:regionArea><wicri:noRegion>Gwangju</wicri:noRegion></affiliation></author><author wicri:is="90%"><name sortKey="Park, Yw" sort="Park, Yw" uniqKey="Park Y" first="Yw" last="Park">Yw Park</name><affiliation wicri:level="1"><country xml:lang="fr">Corée du Sud</country><wicri:regionArea>Department of Rheumatology, Chonnam National University Medical School and Hospital, Gwangju</wicri:regionArea><wicri:noRegion>Gwangju</wicri:noRegion></affiliation><affiliation wicri:level="1"><country wicri:rule="url">Corée du Sud</country></affiliation></author></analytic><monogr></monogr><series><title level="j">Lupus</title><idno type="ISSN">0961-2033</idno><idno type="eISSN">1477-0962</idno><imprint><publisher>SAGE Publications</publisher><pubPlace>Sage UK: London, England</pubPlace><date type="published" when="2009-01">2009-01</date><biblScope unit="volume">18</biblScope><biblScope unit="issue">1</biblScope><biblScope unit="page" from="74">74</biblScope><biblScope unit="page" to="77">77</biblScope></imprint><idno type="ISSN">0961-2033</idno></series></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0961-2033</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="Teeft" xml:lang="en"><term>Acute pancreatitis</term><term>Cerebral hemispheres</term><term>Chonnam</term><term>Epigastric</term><term>Epigastric pain</term><term>Erythematosus</term><term>Gwangju</term><term>Ivmp</term><term>Lupus</term><term>Methylprednisolone</term><term>Oral prednisolone</term><term>Pancreas</term><term>Pancreatic</term><term>Pancreatic pseudocyst</term><term>Pancreatic pseudocysts</term><term>Pancreatitis</term><term>Percutaneous</term><term>Percutaneous drainage</term><term>Pseudocyst</term><term>Pseudocysts</term><term>Resonance imaging</term><term>Rheumatol</term><term>Surgical</term><term>Systemic lupus erythematosus</term><term>Vasculitis</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Pancreatitis is an uncommon manifestation of systemic lupus erythematosus (SLE), but this can occasionally cause major complications. We report in this article, a case of 33-year-old female patient who developed lupus-associated pancreatitis that was subsequently complicated by pancreatic pseudocyst and central nervous system (CNS) vasculitis. Abdominal computed tomography (CT) showed an oedematous swelling of the pancreas and a pseudocyst measuring 4 × 3 cm2. Brain magnetic resonance imaging (MRI) showed multiple high–signal intensity lesions in both cerebral hemispheres. The pseudocyst did not completely resolve with high-dose steroid therapy, and it was later complicated by infection and rupture. After a surgical drainage for the complicated pseudocyst, her clinical symptoms and signs were markedly improved. This case shows the importance of performing early drainage rather than conservative treatment for a pancreatic pseudocyst in a patient with lupus-associated pancreatitis.</div></front></TEI><affiliations><list><country><li>Corée du Sud</li></country></list><tree><country name="Corée du Sud"><noRegion><name sortKey="Myung, Ds" sort="Myung, Ds" uniqKey="Myung D" first="Ds" last="Myung">Ds Myung</name></noRegion><name sortKey="Kim, Jc" sort="Kim, Jc" uniqKey="Kim J" first="Jc" last="Kim">Jc Kim</name><name sortKey="Kim, Js" sort="Kim, Js" uniqKey="Kim J" first="Js" last="Kim">Js Kim</name><name sortKey="Kim, Tj" sort="Kim, Tj" uniqKey="Kim T" first="Tj" last="Kim">Tj Kim</name><name sortKey="Lee, Sj" sort="Lee, Sj" uniqKey="Lee S" first="Sj" last="Lee">Sj Lee</name><name sortKey="Lee, Ss" sort="Lee, Ss" uniqKey="Lee S" first="Ss" last="Lee">Ss Lee</name><name sortKey="Park, Sc" sort="Park, Sc" uniqKey="Park S" first="Sc" last="Park">Sc Park</name><name sortKey="Park, Sc" sort="Park, Sc" uniqKey="Park S" first="Sc" last="Park">Sc Park</name><name sortKey="Park, Yw" sort="Park, Yw" uniqKey="Park Y" first="Yw" last="Park">Yw Park</name><name sortKey="Park, Yw" sort="Park, Yw" uniqKey="Park Y" first="Yw" last="Park">Yw Park</name><name sortKey="Yoon, W" sort="Yoon, W" uniqKey="Yoon W" first="W" last="Yoon">W. 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