急性胰腺炎与自身免疫性溶血性贫血同时发病：系统性红斑狼疮患者中的罕见组合。
The simultaneous incidence of acute pancreatitis and autoimmune hemolytic anemia: a rare duo in a patient with SLE.
作者信息
Masoodi Ibrahim
机构信息
Department of Medicine, College of Medicine, Taif University, Taif, Saudi Arabia.
出版信息
Ger Med Sci. 2014 Sep 25;12:Doc12. doi: 10.3205/000197. eCollection 2014.
A young female presented with acute abdominal pain of two days duration consistent with acute pancreatitis. During her stay in the hospital she had a sudden drop in hemoglobin to 6 g/dl without any overt blood loss. On evaluation, it was evident that she had acute pancreatitis, in addition to displaying features of autoimmune hemolytic anemia. She had been a known case of systemic lupus erythematosus (SLE) and had discontinued her treatment. She was managed with methylprednisolone pulse therapy. Her clinical condition improved, and she has been regularly attending our clinic for the last 2 years. According to a literature search in Medline, it would appear that this is the first report of a case in which SLE with autoimmune hemolytic anemia has been associated with acute pancreatitis in a single case.
一名年轻女性因持续两天的急性腹痛前来就诊，症状符合急性胰腺炎。在住院期间，她的血红蛋白突然降至6 g/dl，且无明显失血情况。经评估，发现她除了患有急性胰腺炎外，还表现出自身免疫性溶血性贫血的特征。她既往有系统性红斑狼疮（SLE）病史，且已停止治疗。她接受了甲泼尼龙冲击疗法。她的临床状况有所改善，在过去两年中一直定期到我们诊所就诊。根据在Medline上的文献检索，这似乎是首例SLE合并自身免疫性溶血性贫血与急性胰腺炎相关的病例报告。
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