Severe acute pancreatitis associated with peliosis hepatis in a patient with systemic lupus erythematosus.
Acute pancreatitis is an unusual complication of systemic lupus erythematosus but can also stem from immunosuppressive therapy. Although abnormal liver tests are commonly seen in SLE, peliosis hepatis is very rarely described. We report here the first case of SLE associating a severe acute pancreatitis with peliosis hepatis who responded well to the immunosuppressive therapy. As suggested by the favourable outcome in this case, the presence of peliosis hepatis in SLE cannot not be held as a strong argument against an aggressive immunosuppressive therapy.
Langlet
P
P
Department of Gastroenterology, Brugmann University Hospital, Place Van Gehuchten, 4, B-1020 Brussels, Belgium. philippelanglet@hotmail.com
Karmali
R
R
Deprez
C
C
Brandelet
B
B
Kleynen
P
P
Dratwa
M
M
de Koster
E
E
Denis
P
P
Deltenre
M
M
D000208:Acute Disease; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000209:etiology*; D010382:Peliosis Hepatis / Q000209:etiology*; D012720:Severity of Illness Index