Open AccessSystemic lupus erythematosus‐related acute pancreatitis: An exceptional form with severe exocrine and endocrine pancreatitic failure in a Tunisian child
Author(s) -
Ferjani Maryem,
El Euch Mounira,
Hammi Yousra,
Sayari Taha,
Naija Ouns,
Ben Hamida Fethi,
Turki Sami,
Gargah Tahar
Publication year - 2022
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.5423
Subject(s) - medicine , pancreatitis , diabetic ketoacidosis , acute pancreatitis , abdominal pain , refractory (planetary science) , complication , endocrine system , adrenal insufficiency , systemic lupus erythematosus , gastroenterology , diabetes mellitus , disease , insulin , endocrinology , hormone , physics , astrobiology
Acute pancreatitis may be the first manifestation in systemic lupus erythematosus or occur during evolution. It is a rare complication, which is often associated with other visceral manifestations. Outcome is usually favorable but can be serious. We report a case of a 17‐year‐old girl with a past history of systemic lupus erythematosus who developed acute pancreatitis revealed by abdominal pain. Elevated serum amylase and lipase levels and pancreatic enlargement on tomography confirmed the diagnosis. Although high‐dose corticosteroid was prescribed, the patient died from a refractory diabetic ketoacidosis.