Marum S, Veiga M Z, Silva F, Vasconcelos T, Ferreira A, Viegas J
Serviço de Medicina 2, Hospital Curry Cabral, Lisboa.
Acta Med Port. 1998 Aug-Sep;11(8-9):779-82.
We report the case of a sixteen year old female patient, admitted to a general hospital due to fever, poliarthritis, malar rash and vasculitis. Diagnostic studies confirmed the existence of Systemic Lupus Erythematosus. Shortly after admission, the patient was transferred to an intensive care unit due to severe acute pancreatitis. In spite of its infrequency, the diagnosis of acute pancreatitis must always be considered whenever a patient with SLE presents abdominal pain. The authors emphasise the importance of an early diagnosis of this rare complication, with high mortality rates, and present a brief review of the international literature.
我们报告了一例16岁女性患者的病例,该患者因发热、多关节炎、颧部皮疹和血管炎入住综合医院。诊断研究证实存在系统性红斑狼疮。入院后不久,患者因严重急性胰腺炎被转入重症监护病房。尽管急性胰腺炎在系统性红斑狼疮患者中并不常见,但每当系统性红斑狼疮患者出现腹痛时,都必须始终考虑急性胰腺炎的诊断。作者强调了早期诊断这种罕见并发症的重要性,其死亡率很高,并对国际文献进行了简要综述。