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Acute Pancreatitis in Systemic Lupus Erythematosus
- Source :
- Medicine. 61:25-32
- Publication Year :
- 1982
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 1982.
-
Abstract
- A retrospective study was undertaken of patients with systemic lupus erythematosus in whom serum amylase had been determined. Sixty-three patients were identified, and of these 53 had abdominal pain at the time of the amylase measurement. Twenty-seven (51 percent) had a normal serum amylase, and 12 of this group had defined reasons for the abdominal pain. Of the 26 patients with hyperamylasemia, 6 had extrapancreatic causes for the elevated amylase. In 20 patients (37 percent of those with abdominal pain) the clinical diagnosis of pancreatitis was made. The amylase levels showed no correlation with renal function nor with dose of corticosteroid. Four patients with pancreatitis were identified in whom no contributing factor other than SLE could be ascertained. No serious complication of the pancreatitis was seen, and recovery occurred despite continued steroid therapy. Pancreatitis is not a rare occurrence in SLE, and may be related in part to the vasculitis seen during periods of disease activity.
- Subjects :
- Adult
Male
medicine.medical_specialty
Abdominal pain
Adolescent
Methylprednisolone
Gastroenterology
Internal medicine
Azathioprine
Pancreatic Pseudocyst
medicine
Humans
Lupus Erythematosus, Systemic
Aged
Lupus erythematosus
business.industry
General Medicine
Middle Aged
medicine.disease
Amylase Measurement
Pancreatitis
Acute Disease
Amylases
Prednisone
Hyperamylasemia
Acute pancreatitis
Female
medicine.symptom
business
Vasculitis
Anti-SSA/Ro autoantibodies
Subjects
Details
- ISSN :
- 00257974
- Volume :
- 61
- Database :
- OpenAIRE
- Journal :
- Medicine
- Accession number :
- edsair.doi.dedup.....0d35043eb50a1fe549a422c9cac410f7