Iqbal Kinza, Rathore Sawai Singh, Hanyalu Shankar Vinay, Deepika Keerti, Pattan Vishwanath, Koritala Thoyaja, Jain Nitesh, Adhikari Ramesh
Internal Medicine, Dow University of Health Sciences, Karachi, PAK.
Internal Medicine, Dr. Sampurnanand Medical College, Jodhpur, IND.
Cureus. 2021 Oct 29;13(10):e19132. doi: 10.7759/cureus.19132. eCollection 2021 Oct.
Although rare, drug-induced pancreatitis is an important cause of acute pancreatitis. The diagnosis of drug-induced pancreatitis remains a challenge for clinicians. Steroids are one of the frequently used drugs in hospitals for many acute illnesses. Patients presenting with signs and symptoms of acute pancreatitis, with a recent history of steroid use, in the absence of other potential causes, should be approached with a high suspicion for steroid-induced pancreatitis to ensure a timely diagnosis. We describe a case of a 57-year-old female treated for optic neuritis of the left eye with high doses of Methylprednisolone for five days, who presented to the emergency room with acute abdominal pain within 24 hours of discharge. A detailed evaluation of the patient's medical history and exclusion of other probable etiologies confirmed the diagnosis of steroid-induced pancreatitis. Withdrawal of the offending agent and supportive care resolved the underlying acute pancreatitis.
尽管药物性胰腺炎较为罕见，但却是急性胰腺炎的一个重要病因。药物性胰腺炎的诊断对临床医生来说仍是一项挑战。类固醇是医院中常用于多种急性疾病的药物之一。对于出现急性胰腺炎体征和症状、近期有类固醇使用史且无其他潜在病因的患者，应高度怀疑为类固醇诱导的胰腺炎，以确保及时诊断。我们描述了一例57岁女性，因左眼视神经炎接受大剂量甲基泼尼松龙治疗5天，出院后24小时内因急性腹痛就诊于急诊室。对患者病史进行详细评估并排除其他可能病因后，确诊为类固醇诱导的胰腺炎。停用致病药物并给予支持性治疗后，潜在的急性胰腺炎得以缓解。
