Frossard Jean Louis, Felley Christian, Michetti Pierre
Service of Gastroenterology, Geneva University Hospital, Geneva, Switzerland.
Case Rep Gastroenterol. 2010 Sep 4;4(3):304-306. doi: 10.1159/000320591.
Drugs are a rare cause of pancreatitis. Whereas some drugs are well known to induce an attack of pancreatitis, some people may be more prone to develop pancreatitis because of personal susceptibility. We describe a recurrent case of acute pancreatitis after administration of several drugs in a patient with intestinal inflammatory bowel disease that needed to be treated with subsequent antiinflammatory agents. Genetic mutation in the CFTR gene was found in the patient that led us to postulate that CFTR was a trigger for drug-induced acute pancreatitis. In conclusion, genetic analysis should be advised in case of recurrent pancreatitis in patient with intestinal inflammatory bowel disease.
药物是胰腺炎的罕见病因。虽然有些药物众所周知可诱发胰腺炎发作,但有些人可能因个人易感性而更易患胰腺炎。我们描述了一例患有肠道炎症性肠病的患者在服用几种药物后发生复发性急性胰腺炎的病例,该患者随后需要使用抗炎药进行治疗。在该患者中发现了CFTR基因的基因突变,这使我们推测CFTR是药物性急性胰腺炎的触发因素。总之,对于患有肠道炎症性肠病且发生复发性胰腺炎的患者,建议进行基因分析。