Blanco-Ornelas LH, Martín-Nares E, Aguirre-Muñoz MA, López-Iñiguez A, Valerdi-Contreras L

Language: Spanish
References: 16
Page: 196-199
PDF size: 766.08 Kb.

ABSTRACT

Pancreatitis as a manifestation of systemic lupus erythematosus (SLE) is rare and rates are less than 5% in published series in Europe and United States. Diagnosis relies on clinical, serological and imaging findings, and the exclusion of other common causes of pancreatitis. The mechanism by which a patient with SLE develops pancreatitis is not fully understood, but it is considered multifactorial, being vasculitis and microthrombosis the main pathogenic mechanisms involved. Lupus pancreatitis commonly presents in patient with moderate to severa SLE activity and portends a worst prognosis. Nonetheless, it is highly responsive to steroids, thus, a timely diagnosis is paramount. We present a case of lupus pancreatitis as the inaugural manifestation of SLE.

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