Acute pancreatitis as the initial presentation in pediatric systemic lupus erythematosus

Winsley Rose; Mammen M Puliyel; Prabhakar D Moses; Debasis Danda

doi:10.1007/s12098-009-0156-4

Acute pancreatitis as the initial presentation in pediatric systemic lupus erythematosus

Indian J Pediatr. 2009 Aug;76(8):846-7. doi: 10.1007/s12098-009-0156-4. Epub 2009 May 27.

Authors

Winsley Rose¹, Mammen M Puliyel, Prabhakar D Moses, Debasis Danda

Affiliation

¹ Departments of Child Health and Rheumatology and Immunology, Christian Medical College, Vellore 632004, India.

PMID: 19475344
DOI: 10.1007/s12098-009-0156-4

Abstract

It is exceptionally rare for acute pancreatitis to be the presenting manifestation of childhood systemic lupus erythematosus. We report a 14-year-old girl who presented with a history of fever, generalized rash, arthralgia and abdominal pain. Her serum amylase was 1472U/L and lipase 3316 U/L suggestive of acute pancreatitis. Other investigations revealed pancytopenia, low complement, high 24-hour urinary protein and elevated ANA and dsDNA. She was treated with IV methylprednisone, followed by oral steroids.

Publication types

Case Reports

MeSH terms

Acute Disease
Administration, Oral
Adolescent
Diagnosis, Differential
Fatal Outcome
Female
Glucocorticoids / administration & dosage
Glucocorticoids / therapeutic use
Humans
Infusions, Intravenous
Lupus Erythematosus, Systemic / complications*
Lupus Erythematosus, Systemic / diagnosis
Lupus Erythematosus, Systemic / drug therapy
Methylprednisolone / administration & dosage
Methylprednisolone / therapeutic use
Pancreatitis / diagnosis
Pancreatitis / drug therapy
Pancreatitis / etiology*

Substances

Glucocorticoids
Methylprednisolone