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在特立尼达和多巴哥诊断出的一例罕见的系统性红斑狼疮相关性胰腺炎病例。

A Rare Case of Systemic Lupus Erythematosus-Associated Pancreatitis Diagnosed in Trinidad and Tobago.

作者信息

Parsan Neera, King David, Seeraj Christopher, Mohammed Riyad

机构信息

Internal Medicine, St. James Medical Complex, Port of Spain, TTO.

Physical Medicine and Rehabilitation, St. James Medical Complex, Port of Spain, TTO.

出版信息

Cureus. 2025 Jul 12;17(7):e87773. doi: 10.7759/cureus.87773. eCollection 2025 Jul.

DOI:10.7759/cureus.87773
PMID:40792323
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12338000/
Abstract

Systemic lupus erythematosus (SLE) is a chronic autoimmune disease known for its diverse clinical manifestations and multisystem involvement. While gastrointestinal symptoms are relatively common, pancreatitis remains an uncommon and potentially serious complication. We present the case of a 43-year-old female patient with a known history of SLE who was admitted with progressively worsening abdominal pain. Her evaluation revealed elevated lipase levels and radiological findings consistent with acute pancreatitis. She was managed with corticosteroids and supportive care, resulting in a complete recovery. This case highlights the importance of considering pancreatitis in patients with SLE presenting with abdominal pain and emphasizes the potential benefits of timely immunosuppressive treatment.

摘要

系统性红斑狼疮(SLE)是一种慢性自身免疫性疾病,以其多样的临床表现和多系统受累而闻名。虽然胃肠道症状相对常见,但胰腺炎仍然是一种罕见且可能严重的并发症。我们报告一例43岁女性患者,她有SLE病史,因腹痛进行性加重入院。她的检查显示脂肪酶水平升高,影像学检查结果符合急性胰腺炎。她接受了糖皮质激素和支持性治疗,最终完全康复。该病例强调了在出现腹痛的SLE患者中考虑胰腺炎的重要性,并强调了及时进行免疫抑制治疗的潜在益处。

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本文引用的文献

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American College of Gastroenterology Guidelines: Management of Acute Pancreatitis.美国胃肠病学会指南:急性胰腺炎的管理。
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Gastrointestinal Manifestations in Patients with Systemic Lupus Erythematosus.系统性红斑狼疮患者的胃肠道表现
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The role of imaging in acute pancreatitis.影像学在急性胰腺炎中的作用。
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The early predictive role of complement C3 and C4 in patients with acute pancreatitis.补体C3和C4在急性胰腺炎患者中的早期预测作用。
J Clin Lab Anal. 2020 May;34(5):e23205. doi: 10.1002/jcla.23205. Epub 2020 Mar 18.
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Lupus enteritis as the only active manifestation of systemic lupus erythematosus: A case report.狼疮性肠炎作为系统性红斑狼疮的唯一活跃表现:一例报告
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2019 WSES guidelines for the management of severe acute pancreatitis.2019 WSES 急性胰腺炎严重程度分级与管理指南。
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Systemic lupus erythematosus.系统性红斑狼疮
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Autoimmune pancreatitis as the initial presentation of systemic lupus erythematosus.自身免疫性胰腺炎作为系统性红斑狼疮的初始表现
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