系统性红斑狼疮的一种罕见初始表现——急性胰腺炎：病例报告及文献复习
A rare initial manifestation of systemic lupus erythematosus--acute pancreatitis: case report and review of the literature.
作者信息
Duncan Hazel V, Achara Gloria
机构信息
Family Practice Residency, and the Department of Family Practice, State University of New York, Brooklyn 11203, usa.
出版信息
J Am Board Fam Pract. 2003 Jul-Aug;16(4):334-8. doi: 10.3122/jabfm.16.4.334.
BACKGROUND
Acute pancreatitis as the initial manifestation of systemic lupus erythematosus (SLE) has been documented only nine times in the English literature.
METHODS
We report the case of a 25-year-old woman patient with fever, abdominal pain and vomiting, elevated levels of pancreatic enzymes, and various other laboratory abnormalities. Further investigation led to a diagnosis of SLE. A literature search, using the key words "systemic lupus erythematosus" and "pancreatitis" was undertaken.
RESULTS AND CONCLUSIONS
The treatment of SLE pancreatitis is steroids, which is somewhat controversial because steroids have been implicated in the cause. SLE can involve any organ system. It is important that the family physician, who treats patients as a whole, rules out SLE when a straightforward diagnosis is associated with inexplicable multiple concomitant abnormalities.
背景
急性胰腺炎作为系统性红斑狼疮（SLE）的初始表现，在英文文献中仅有9例报道。
方法
我们报告了一名25岁女性患者的病例，该患者有发热、腹痛、呕吐症状，胰酶水平升高，还有各种其他实验室异常。进一步检查后诊断为SLE。我们使用关键词“系统性红斑狼疮”和“胰腺炎”进行了文献检索。
结果与结论
SLE胰腺炎的治疗方法是使用类固醇，这在一定程度上存在争议，因为类固醇被认为与病因有关。SLE可累及任何器官系统。对于将患者作为一个整体进行治疗的家庭医生来说，当一个简单的诊断伴有无法解释的多种伴随异常时，排除SLE很重要。
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