Wang Feng, Wang Nian-Song, Zhao Bing-Hui, Tang Ling-Quan
Department of Nephrology, the Sixth Hospital, Shanghai Jiaotong University, Shanghai, China.
World J Gastroenterol. 2005 Aug 14;11(30):4766-8. doi: 10.3748/wjg.v11.i30.4766.
Acute pancreatitis as an initial symptom of systemic lupus erythematosus (SLE) is rare. We present a report of a 46-year-old female patient who had fever, abdominal pain and vomiting, elevated pancreatic enzyme levels, hypocalcemia, hypoxemia, and various other laboratory abnormalities. She was first diagnosed with acute severe pancreatitis and then with SLE after further investigations. After a 2-mo treatment with somatostatin, the patient recovered.
急性胰腺炎作为系统性红斑狼疮(SLE)的首发症状较为罕见。我们报告一例46岁女性患者,该患者出现发热、腹痛、呕吐、胰酶水平升高、低钙血症、低氧血症以及各种其他实验室异常。她最初被诊断为急性重症胰腺炎,进一步检查后确诊为SLE。经生长抑素治疗2个月后,患者康复。