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类固醇诱导性胰腺炎:一项具有挑战性的诊断。

Steroid-Induced Pancreatitis: A Challenging Diagnosis.

作者信息

Ataallah Basma, Abdulrahman Mustafa, Al-Zakhari Rana, Buttar Barjinder S, Nabeel Shaha

机构信息

Internal Medicine, Zucker School of Medicine at Mather, Port Jefferson, USA.

Internal Medicine, Northwell Health Mather Hospital, Port Jefferson, USA.

出版信息

Cureus. 2020 Jul 1;12(7):e8939. doi: 10.7759/cureus.8939.

DOI:10.7759/cureus.8939
PMID:32765985
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7398688/
Abstract

Drug-induced pancreatitis is uncommon among all cases of acute pancreatitis in the general population. The majority of reported cases are mild, but severe and even fatal cases have been also reported. Management of corticosteroid-induced acute pancreatitis requires withdrawal of the offending agent and supportive care. Our case describes a young patient, who was recently diagnosed with idiopathic immune purpura and was treated with steroids. Few days later, he returned to the hospital complaining of epigastric pain with nausea and vomiting and was diagnosed with steroid-induced pancreatitis after exclusion of other causes of pancreatitis.

摘要

药物性胰腺炎在普通人群所有急性胰腺炎病例中并不常见。报告的大多数病例为轻症,但也有重症甚至致命病例的报道。皮质类固醇诱导的急性胰腺炎的治疗需要停用致病药物并给予支持性护理。我们的病例描述了一名年轻患者,他最近被诊断为特发性免疫性紫癜并接受了类固醇治疗。几天后,他因上腹部疼痛伴恶心、呕吐返回医院,在排除其他胰腺炎病因后被诊断为类固醇诱导的胰腺炎。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9487/7398688/022d15edca17/cureus-0012-00000008939-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9487/7398688/022d15edca17/cureus-0012-00000008939-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9487/7398688/022d15edca17/cureus-0012-00000008939-i01.jpg

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Intra-articular Steroid Injection as the Etiology of Acute Pancreatitis.关节内注射类固醇作为急性胰腺炎的病因

本文引用的文献

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Epidural Steroid Injection-Induced Pancreatitis: A Case Report.硬膜外类固醇注射所致胰腺炎:一例报告
Am J Case Rep. 2020 Feb 10;21:e921241. doi: 10.12659/AJCR.921241.
2
Association of oral glucocorticoid use with an increased risk of acute pancreatitis: a population-based nested case-control study.口服糖皮质激素使用与急性胰腺炎风险增加的关联:基于人群的巢式病例对照研究。
JAMA Intern Med. 2013 Mar 25;173(6):444-9. doi: 10.1001/jamainternmed.2013.2737.
3
Drug-induced pancreatitis : incidence, management and prevention.药物性胰腺炎:发病率、管理与预防
Cureus. 2024 May 9;16(5):e59995. doi: 10.7759/cureus.59995. eCollection 2024 May.
4
A Case of Acute Pancreatitis in a Patient Receiving High-Dose Steroids for Optic Neuritis.一名因视神经炎接受大剂量类固醇治疗的患者发生急性胰腺炎的病例。
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Drug Saf. 2008;31(10):823-37. doi: 10.2165/00002018-200831100-00002.
4
Corticosteroid-induced pancreatitis in patients with autoimmune bullous disease: case report and prospective study.自身免疫性大疱性疾病患者中皮质类固醇诱导的胰腺炎:病例报告及前瞻性研究
Dermatology. 1999;198(3):304-6. doi: 10.1159/000018137.
5
Steroid-induced pancreatitis: does it really exist?类固醇诱导的胰腺炎:它真的存在吗?
Gastroenterology. 1981 Oct;81(4):799-808.