Limits...
Acute pancreatitis as the initial presentation of systematic lupus erythematosus.

Jia Y, Ortiz A, Mccallum R, Salameh H, Serrato P - Case Rep Gastrointest Med (2014)

Bottom Line: Systematic lupus erythematosus (SLE) is a multisystem disease, including the gastrointestinal system in about half of SLE patients.As a rare complication of SLE, acute pancreatitis presents as generalized flare-ups in most cases of patients previously diagnosed with SLE.Here we report a rare case of acute pancreatitis as the initial presentation with later diagnosis of SLE.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, 4800 Alberta Avenue, El Paso, TX 79905, USA.

ABSTRACT
Systematic lupus erythematosus (SLE) is a multisystem disease, including the gastrointestinal system in about half of SLE patients. As a rare complication of SLE, acute pancreatitis presents as generalized flare-ups in most cases of patients previously diagnosed with SLE. Here we report a rare case of acute pancreatitis as the initial presentation with later diagnosis of SLE.

No MeSH data available.


Related in: MedlinePlus

Abdominal computed tomography (CT) scan at admission indicated a thickened edematous bowel loop adjacent to pancreas with mild homogenous edema of pancreas.
© Copyright Policy
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC4150433&req=5

fig1: Abdominal computed tomography (CT) scan at admission indicated a thickened edematous bowel loop adjacent to pancreas with mild homogenous edema of pancreas.

Mentions: Upon physical examination (PE), the patient was afebrile with stable vital signs. Patient's abdomen was moderately distended with right upper and lower quadrant tenderness. Bowel sounds (BS) were absent. No rebound/guarding and no masses or organomegaly were palpable. Other PE findings were unremarkable. Complete blood count and comprehensive metabolic panel were within normal limits. Lipase was 751 units/L. Urinalysis was positive for large blood with only 5–10 RBC per high power field and more than 300 mg protein as per the dip. Other laboratories, including lipid panel, C-reactive protein, and pregnancy test, were all normal. Electrocardiogram, chest X-ray, and abdominal ultrasound were unremarkable. Abdominal computed tomography (CT) scan indicated a thickened edematous bowel loop adjacent to pancreas with mild homogenous edema of pancreas (Figure 1).


Acute pancreatitis as the initial presentation of systematic lupus erythematosus.

Jia Y, Ortiz A, Mccallum R, Salameh H, Serrato P - Case Rep Gastrointest Med (2014)

Abdominal computed tomography (CT) scan at admission indicated a thickened edematous bowel loop adjacent to pancreas with mild homogenous edema of pancreas.
© Copyright Policy
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4150433&req=5

fig1: Abdominal computed tomography (CT) scan at admission indicated a thickened edematous bowel loop adjacent to pancreas with mild homogenous edema of pancreas.
Mentions: Upon physical examination (PE), the patient was afebrile with stable vital signs. Patient's abdomen was moderately distended with right upper and lower quadrant tenderness. Bowel sounds (BS) were absent. No rebound/guarding and no masses or organomegaly were palpable. Other PE findings were unremarkable. Complete blood count and comprehensive metabolic panel were within normal limits. Lipase was 751 units/L. Urinalysis was positive for large blood with only 5–10 RBC per high power field and more than 300 mg protein as per the dip. Other laboratories, including lipid panel, C-reactive protein, and pregnancy test, were all normal. Electrocardiogram, chest X-ray, and abdominal ultrasound were unremarkable. Abdominal computed tomography (CT) scan indicated a thickened edematous bowel loop adjacent to pancreas with mild homogenous edema of pancreas (Figure 1).

Bottom Line: Systematic lupus erythematosus (SLE) is a multisystem disease, including the gastrointestinal system in about half of SLE patients.As a rare complication of SLE, acute pancreatitis presents as generalized flare-ups in most cases of patients previously diagnosed with SLE.Here we report a rare case of acute pancreatitis as the initial presentation with later diagnosis of SLE.

View Article: PubMed Central - PubMed

Affiliation: Department of Internal Medicine, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, 4800 Alberta Avenue, El Paso, TX 79905, USA.

ABSTRACT
Systematic lupus erythematosus (SLE) is a multisystem disease, including the gastrointestinal system in about half of SLE patients. As a rare complication of SLE, acute pancreatitis presents as generalized flare-ups in most cases of patients previously diagnosed with SLE. Here we report a rare case of acute pancreatitis as the initial presentation with later diagnosis of SLE.

No MeSH data available.


Related in: MedlinePlus