Malleshappa P, Chaudhari A P, Aghariya M, Siddiqui A, Ranganath R, Shah A B
Department of Nephrology, Lilavati Hospital and Research Centre, Mumbai, India.
Indian J Nephrol. 2011 Jul;21(3):215-7. doi: 10.4103/0971-4065.78073.
Acute pancreatitis as a cause of thrombotic microangiopathy is very rare. We report a case of 40-year-old woman with idiopathic recurrent pancreatitis, who presented with acute pancreatitis complicated by thrombotic microangiopathy. Although thrombotic thrombocytopenic purpura/hemolytic uremic syndrome (TTP/HUS) has been reported as causing acute pancreatitis, the induction of TTP/HUS by pancreatitis is rare. As far as we are aware this is the first reported case of TTP/HUS in association with pancreatitis in India. Our patient had a complete recovery of her thrombotic microangiopathy following plasma exchange therapy.
急性胰腺炎作为血栓性微血管病的病因非常罕见。我们报告一例40岁患有特发性复发性胰腺炎的女性，她出现了并发血栓性微血管病的急性胰腺炎。虽然已有报道血栓性血小板减少性紫癜/溶血性尿毒症综合征（TTP/HUS）可导致急性胰腺炎，但胰腺炎诱发TTP/HUS却很罕见。据我们所知，这是印度首例报道的与胰腺炎相关的TTP/HUS病例。我们的患者在接受血浆置换治疗后血栓性微血管病完全康复。
