Systemic lupus erythematosus and acute pancreatitis: a case series
Identifieur interne : 001F43 ( Main/Exploration ); précédent : 001F42; suivant : 001F44Systemic lupus erythematosus and acute pancreatitis: a case series
Auteurs : Chris T. Derk [États-Unis] ; Raphael J. Dehoratius [États-Unis]Source :
- Clinical Rheumatology [ 0770-3198 ] ; 2004-04-01.
English descriptors
Abstract
Abstract: The aim of this study was to evaluate whether corticosteroid use is the etiological agent in acute pancreatitis in patients with systemic lupus erythematosus, or whether it is related to the underlying connective tissue disorder. Hospital admissions at Thomas Jefferson University Hospital between 1982 and 2002 that carried the dual diagnosis of systemic lupus erythematosus and pancreatitis were identified, and demographic data, clinical interventions and parameters of clinical progression of their disease were identified. From 2947 admissions with systemic lupus erythematosus 25 (0.85%) were diagnosed as having acute pancreatitis; 76% of cases had active systemic lupus erythematosus on presentation, with an average of 4.4 organ involvement, and a clustering of renal disease (56%), pleural effusion (48%) and arthritis (44%) in these patients. Fifteen patients with active disease and three whose disease was inactive received increased doses of corticosteroids, and four active cases and one inactive one stayed on the same doses. Two inactive patients received no corticosteroids before or after the diagnosis of pancreatitis. Eighty-two percent of patients had clinical and laboratory improvement on the higher or maintenance dose of corticosteroids. We therefore concluded that acute pancreatitis is a rare manifestation of systemic lupus erythematosus, and corticosteroids do not appear to be the etiological agent.
Url:
DOI: 10.1007/s10067-003-0793-3
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream Istex, to step Corpus: 002657
- to stream Istex, to step Curation: 002657
- to stream Istex, to step Checkpoint: 000D84
- to stream Main, to step Merge: 001F58
- to stream Main, to step Curation: 001F43
Le document en format XML
<record><TEI wicri:istexFullTextTei="biblStruct"><teiHeader><fileDesc><titleStmt><title xml:lang="en">Systemic lupus erythematosus and acute pancreatitis: a case series</title>
<author><name sortKey="Derk, Chris T" sort="Derk, Chris T" uniqKey="Derk C" first="Chris T." last="Derk">Chris T. Derk</name>
</author>
<author><name sortKey="Dehoratius, Raphael J" sort="Dehoratius, Raphael J" uniqKey="Dehoratius R" first="Raphael J" last="Dehoratius">Raphael J. Dehoratius</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">ISTEX</idno>
<idno type="RBID">ISTEX:DA8E371068B8E53C9EDE743E1F6CA62341C34948</idno>
<date when="2004" year="2004">2004</date>
<idno type="doi">10.1007/s10067-003-0793-3</idno>
<idno type="url">https://api.istex.fr/ark:/67375/VQC-NS8KNF70-Z/fulltext.pdf</idno>
<idno type="wicri:Area/Istex/Corpus">002657</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Corpus" wicri:corpus="ISTEX">002657</idno>
<idno type="wicri:Area/Istex/Curation">002657</idno>
<idno type="wicri:Area/Istex/Checkpoint">000D84</idno>
<idno type="wicri:explorRef" wicri:stream="Istex" wicri:step="Checkpoint">000D84</idno>
<idno type="wicri:doubleKey">0770-3198:2004:Derk C:systemic:lupus:erythematosus</idno>
<idno type="wicri:Area/Main/Merge">001F58</idno>
<idno type="wicri:Area/Main/Curation">001F43</idno>
<idno type="wicri:Area/Main/Exploration">001F43</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Systemic lupus erythematosus and acute pancreatitis: a case series</title>
<author><name sortKey="Derk, Chris T" sort="Derk, Chris T" uniqKey="Derk C" first="Chris T." last="Derk">Chris T. Derk</name>
<affiliation wicri:level="3"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Rheumatology, Department of Medicine, Thomas Jefferson University, 613 Curtis Bldg, 1015 Walnut Street, PA 19107, Philadelphia</wicri:regionArea>
<placeName><settlement type="city">Philadelphie</settlement>
<region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
<affiliation wicri:level="1"><country wicri:rule="url">États-Unis</country>
</affiliation>
</author>
<author><name sortKey="Dehoratius, Raphael J" sort="Dehoratius, Raphael J" uniqKey="Dehoratius R" first="Raphael J" last="Dehoratius">Raphael J. Dehoratius</name>
<affiliation wicri:level="3"><country xml:lang="fr">États-Unis</country>
<wicri:regionArea>Division of Rheumatology, Department of Medicine, Thomas Jefferson University, 613 Curtis Bldg, 1015 Walnut Street, PA 19107, Philadelphia</wicri:regionArea>
<placeName><settlement type="city">Philadelphie</settlement>
<region type="state">Pennsylvanie</region>
</placeName>
</affiliation>
</author>
</analytic>
<monogr></monogr>
<series><title level="j">Clinical Rheumatology</title>
<title level="j" type="abbrev">Clin Rheumatol</title>
<idno type="ISSN">0770-3198</idno>
<idno type="eISSN">1434-9949</idno>
<imprint><publisher>Springer-Verlag</publisher>
<pubPlace>London</pubPlace>
<date type="published" when="2004-04-01">2004-04-01</date>
<biblScope unit="volume">23</biblScope>
<biblScope unit="issue">2</biblScope>
<biblScope unit="page" from="147">147</biblScope>
<biblScope unit="page" to="151">151</biblScope>
</imprint>
<idno type="ISSN">0770-3198</idno>
</series>
</biblStruct>
</sourceDesc>
<seriesStmt><idno type="ISSN">0770-3198</idno>
</seriesStmt>
</fileDesc>
<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Abdominal pain</term>
<term>Gastrointestinal manifestations</term>
<term>Pancreatitis</term>
<term>Systemic lupus erythematosus</term>
</keywords>
</textClass>
<langUsage><language ident="en">en</language>
</langUsage>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">Abstract: The aim of this study was to evaluate whether corticosteroid use is the etiological agent in acute pancreatitis in patients with systemic lupus erythematosus, or whether it is related to the underlying connective tissue disorder. Hospital admissions at Thomas Jefferson University Hospital between 1982 and 2002 that carried the dual diagnosis of systemic lupus erythematosus and pancreatitis were identified, and demographic data, clinical interventions and parameters of clinical progression of their disease were identified. From 2947 admissions with systemic lupus erythematosus 25 (0.85%) were diagnosed as having acute pancreatitis; 76% of cases had active systemic lupus erythematosus on presentation, with an average of 4.4 organ involvement, and a clustering of renal disease (56%), pleural effusion (48%) and arthritis (44%) in these patients. Fifteen patients with active disease and three whose disease was inactive received increased doses of corticosteroids, and four active cases and one inactive one stayed on the same doses. Two inactive patients received no corticosteroids before or after the diagnosis of pancreatitis. Eighty-two percent of patients had clinical and laboratory improvement on the higher or maintenance dose of corticosteroids. We therefore concluded that acute pancreatitis is a rare manifestation of systemic lupus erythematosus, and corticosteroids do not appear to be the etiological agent.</div>
</front>
</TEI>
<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Pennsylvanie</li>
</region>
<settlement><li>Philadelphie</li>
</settlement>
</list>
<tree><country name="États-Unis"><region name="Pennsylvanie"><name sortKey="Derk, Chris T" sort="Derk, Chris T" uniqKey="Derk C" first="Chris T." last="Derk">Chris T. Derk</name>
</region>
<name sortKey="Dehoratius, Raphael J" sort="Dehoratius, Raphael J" uniqKey="Dehoratius R" first="Raphael J" last="Dehoratius">Raphael J. Dehoratius</name>
<name sortKey="Derk, Chris T" sort="Derk, Chris T" uniqKey="Derk C" first="Chris T." last="Derk">Chris T. Derk</name>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Sante/explor/ChloroquineV1/Data/Main/Exploration
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 001F43 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Main/Exploration/biblio.hfd -nk 001F43 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Sante |area= ChloroquineV1 |flux= Main |étape= Exploration |type= RBID |clé= ISTEX:DA8E371068B8E53C9EDE743E1F6CA62341C34948 |texte= Systemic lupus erythematosus and acute pancreatitis: a case series }}
This area was generated with Dilib version V0.6.33. |