title: A case of lupus-associated pancreatitis with ruptured pseudoaneurysms.
abstract: Pancreatitis is a relatively rare complication in systemic lupus erythematosus (SLE). Herein we report a case of SLE with the initial development of acute pancreatitis, subsequently complicated by bleeding pseudoaneurysms. A 55-year-old Japanese woman was admitted to our hospital for the treatment of SLE. During the course of treatment, she complained of upper abdominal pain. An abdominal computed tomography (CT) scan showed that the pancreas was diffusely enlarged, and she was diagnosed with acute pancreatitis. Her pancreatitis was resistant to glucocorticoid therapy and was subsequently associated with pancreatic pseudocysts and recurrent rupture of the pseudoaneurysms. After surgical drainage of the hemorrhagic pseudocysts, the patient's clinical condition gradually improved with intensive therapies. Our case indicates that lupus pancreatitis can be associated with the potentially fatal complication of recurrent bleeding of pseudoaneurysms.
authors.affiliation: Department of Rheumatology and General Internal Medicine, NHO National Nagasaki Medical Center, Kubara 2-1001-1, Omura, Nagasaki, 856-8562, Japan.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Koga
authors.forename: Taiichiro
authors.initials: T
authors.lastname: Miyashita
authors.forename: Megumi
authors.initials: M
authors.lastname: Koga
authors.forename: Yasumori
authors.initials: Y
authors.lastname: Izumi
authors.forename: Shinya
authors.initials: S
authors.lastname: Onizuka
authors.forename: Hikaru
authors.initials: H
authors.lastname: Fujioka
authors.forename: Shinsuke
authors.initials: S
authors.lastname: Fujiwara
authors.forename: Chikaaki
authors.initials: C
authors.lastname: Nakamichi
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Nakashima
authors.forename: Kiyoshi
authors.initials: K
authors.lastname: Migita
mesh_terms: D017541:Aneurysm, False / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D017542:Aneurysm, Ruptured / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D000792:Angiography; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D004621:Embolization, Therapeutic; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D008875:Middle Aged; D010195:Pancreatitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology*; D011239:Prednisolone / Q000008:administration & dosage; D013157:Splenic Artery; D014057:Tomography, X-Ray Computed
chemical_list: D000900:Anti-Bacterial Agents; D011239:Prednisolone