Ataallah Basma, Abdulrahman Mustafa, Al-Zakhari Rana, Buttar Barjinder S, Nabeel Shaha
Internal Medicine, Zucker School of Medicine at Mather, Port Jefferson, USA.
Internal Medicine, Northwell Health Mather Hospital, Port Jefferson, USA.
Cureus. 2020 Jul 1;12(7):e8939. doi: 10.7759/cureus.8939.
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.
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。