title: A case of sclerosing mesenteritis with spontaneous resolution with steroid therapy.
abstract: We present the case of a 59-year-old male who presented with sudden onset of severe epigastric pain and laboratory studies consistent with acute pancreatitis. Imaging showed a dramatic interval increase in mesenteric edema with a normal pancreas, and a diagnosis of acute-onset sclerosing mesenteritis was made. Corticosteroids were initiated, and the patient demonstrated a dramatic improvement in symptoms and laboratory abnormalities overnight. Subsequent imaging after 4 and 8 months revealed continued improvement of mesenteric abnormalities consistent with consolidative sclerosing mesenteritis with a radiographic picture more typical of this unusual disorder. The abrupt onset of symptoms with acute dramatic development of mesenteric edema and dramatic resolution of symptoms has not been previously described.
authors.affiliation: Department of Medicine, The University of Alabama of Birmingham, BDB 327, 1720 2nd Ave South, Birmingham, AL, 35294-0012, USA, donny.kakati@gmail.com.
authors.forename: Donny D
authors.initials: DD
authors.lastname: Kakati
authors.forename: Nipun
authors.initials: N
authors.lastname: Reddy
authors.forename: Frederick H
authors.initials: FH
authors.lastname: Weber
mesh_terms: D005938:Glucocorticoids / Q000627:therapeutic use*; D006801:Humans; D008297:Male; D008875:Middle Aged; D015436:Panniculitis, Peritoneal / Q000188:drug therapy*; D011241:Prednisone / Q000627:therapeutic use*; D012074:Remission Induction
chemical_list: D005938:Glucocorticoids; D011241:Prednisone