牙买加一例狼疮相关性胰腺炎病例。

A case of lupus-associated pancreatitis in Jamaica.

作者信息

Soyibo A K, Alfred R

机构信息

Department of Medicine, The University of the West Indies, Kingston 7, Jamaica, West Indies.

出版信息

West Indian Med J. 2010 Jun;59(3):338-41.

PMID:21291119

Abstract

Pancreatitis complicating a diagnosis of systemic lupus erythematosus (SLE) is rarely reported in the literature and there are no known published cases thus far in the Caribbean. A 50-year old female diagnosed with SLE and discoid lupus erythematosus (DLE) since 1990, presented in February, 2009, to the University Hospital of the West Indies (UHWI), Kingston, Jamaica, with symptoms suggestive of lupus pancreatitis. Serum amylase level was 2341 IU/L and serum lipase was 203 IU/L. Pancreatitis has a 3-8% rate of occurrence in adult patients with SLE. Aetiology and management of this entity remains controversial in these cases, but one must bear the diagnosis in mind, when faced with a SLE patient presenting with abdominal pain, vomiting and diarrhoea.

摘要

胰腺炎并发系统性红斑狼疮（SLE）在文献中鲜有报道，加勒比地区目前尚无已知的公开病例。一名自1990年起被诊断为SLE和盘状红斑狼疮（DLE）的50岁女性，于2009年2月前往牙买加金斯敦的西印度大学医院（UHWI）就诊，出现了提示狼疮性胰腺炎的症状。血清淀粉酶水平为2341 IU/L，血清脂肪酶为203 IU/L。成年SLE患者中胰腺炎的发生率为3-8%。在这些病例中，该病症的病因和管理仍存在争议，但当面对出现腹痛、呕吐和腹泻的SLE患者时，必须考虑到这一诊断。