[Acute relapsing pancreatitis, revealing Crohn disease, and regressing under corticotherapy].
A case of acute relapsing pancreatitis revealing Crohn's disease is reported. The diagnosis of chronic pancreatitis was highly suspected because of characteristic pain, repeated serum pancreatic enzyme elevation and ultrasound, CT-scan, pancreatography, and endosonography data. None of the classical aetiologies for chronic or acute pancreatitis were found. This observation presents some outstanding particularities: a) pancreatitis revealed Crohn's disease; b) there was no duodenal involvement by Crohn's disease; c) the diagnosis of chronic pancreatitis was highly suspected; d) corticoids induced dramatic improvement of intestinal and pancreatic manifestations, and the patient remained asymptomatic during a two-year follow-up. The efficacy of corticotherapy on pancreatic disorders suggests a common mechanism explaining the two diseases.
Malka
D
D
Service de Gastroentérologie, Hôpital Beaujon, Clichy.
Lévy
P
P
Chemtob
A
A
Bernades
P
P
D000208:Acute Disease; D000328:Adult; D003092:Colitis / Q000150:complications* / Q000188:drug therapy; D003424:Crohn Disease / Q000150:complications* / Q000188:drug therapy; D005260:Female; D006801:Humans; D007079:Ileitis / Q000150:complications* / Q000188:drug therapy; D010195:Pancreatitis / Q000188:drug therapy / Q000209:etiology*; D011239:Prednisolone / Q000627:therapeutic use*; D012008:Recurrence
D011239:Prednisolone
Pancréatite aiguë subintrante révélant une maladie de Crohn et régressant sous corticothérapie.