title: [Recurrent acute idiopathic pancreatitis. Look for a chronic inflammatory disease of the intestine].
abstract: BACKGROUND
  Among the new identified causes of so-called idiopathic acute pancreatitis are chronic inflammatory diseases of the intestine.
  
  
  METHODS
  A 21 year-old man was hospitalised for the third episode of unexplained acute pancreatitis. Digestive endoscopies revealed an ulcerated terminal ileitis compatible with Crohn's disease.
  
  
  CONCLUSIONS
  The frequency of idiopathic pancreatitis in patients exhibiting a chronic inflammatory disease of the intestine is of around 1%. Pancreatic involvement may precede the digestive manifestations of Crohn's disease and its clinical expression varies. An auto-immune mechanism appears to be responsible.
authors.affiliation: Service des maladies digestives, Hôpital d'Instruction des armées Legouest, 27 avenue de Plantières, BP210, F-57998 Metz Armées, France. philippe.rey@santesurf.com
authors.forename: P
authors.initials: P
authors.lastname: Rey
authors.forename: D
authors.initials: D
authors.lastname: Andriamanantena
authors.forename: C
authors.initials: C
authors.lastname: Carrere
authors.forename: D
authors.initials: D
authors.lastname: Casassus-Builhe
authors.forename: J-L
authors.initials: JL
authors.lastname: Perret
mesh_terms: D000208:Acute Disease; D000328:Adult; D002908:Chronic Disease; D003424:Crohn Disease / Q000175:diagnosis* / Q000276:immunology; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D006680:HLA Antigens / Q000276:immunology; D006801:Humans; D008071:Lipoprotein Lipase / Q000378:metabolism; D008279:Magnetic Resonance Imaging; D008297:Male; D010195:Pancreatitis / Q000175:diagnosis* / Q000201:enzymology / Q000276:immunology; D012008:Recurrence; D014057:Tomography, X-Ray Computed
chemical_list: D006680:HLA Antigens; D008071:Lipoprotein Lipase