Acute Pancreatitis Associated With Systemic Lupus Erythematosus in a Young Female: A Diagnostic and Therapeutic Challenge

ABSTRACT Acute pancreatitis (AP) is a rare but life‐threatening complication in patients with systemic lupus erythematosus (SLE). The case highlights the diagnostic challenges and treatment complexities in managing SLE‐associated pancreatitis. A 20‐year‐old female with a history of SLE presented wit...

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Main Authors: Andres Ordoñes‐Saucedo, Bruno Eduardo Reyes‐Torres, Karen Kortright‐Maldonado, Erika K. Tenorio‐Aguirre, Pedro Rodríguez‐Henríquez, Froylan D. Martínez‐Sánchez
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Language:English
Published: Wiley 2024-11-01
Series:Clinical Case Reports
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Online Access:https://doi.org/10.1002/ccr3.9621
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author Andres Ordoñes‐Saucedo
Bruno Eduardo Reyes‐Torres
Karen Kortright‐Maldonado
Erika K. Tenorio‐Aguirre
Pedro Rodríguez‐Henríquez
Froylan D. Martínez‐Sánchez
author_facet Andres Ordoñes‐Saucedo
Bruno Eduardo Reyes‐Torres
Karen Kortright‐Maldonado
Erika K. Tenorio‐Aguirre
Pedro Rodríguez‐Henríquez
Froylan D. Martínez‐Sánchez
author_sort Andres Ordoñes‐Saucedo
collection DOAJ
description ABSTRACT Acute pancreatitis (AP) is a rare but life‐threatening complication in patients with systemic lupus erythematosus (SLE). The case highlights the diagnostic challenges and treatment complexities in managing SLE‐associated pancreatitis. A 20‐year‐old female with a history of SLE presented with acute onset epigastric pain, vomiting, and signs of systemic inflammation. Laboratory findings revealed elevated amylase and lipase levels, confirming AP. Imaging studies showed interstitial edematous pancreatitis and bilateral pleural effusion. The patient was managed with aggressive fluid resuscitation, pain management, and supportive care. A systemic inflammatory response complicated her clinical course, and she required intensive care unit monitoring. This case underscores the importance of early recognition of AP in SLE patients and highlights the need for a multidisciplinary approach to manage this severe complication.
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publisher Wiley
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series Clinical Case Reports
spelling doaj-art-29f6de16b02a4ab3b6ae9dbf6c47daa02025-08-20T02:23:34ZengWileyClinical Case Reports2050-09042024-11-011211n/an/a10.1002/ccr3.9621Acute Pancreatitis Associated With Systemic Lupus Erythematosus in a Young Female: A Diagnostic and Therapeutic ChallengeAndres Ordoñes‐Saucedo0Bruno Eduardo Reyes‐Torres1Karen Kortright‐Maldonado2Erika K. Tenorio‐Aguirre3Pedro Rodríguez‐Henríquez4Froylan D. Martínez‐Sánchez5Department of Internal Medicine Hospital General Dr. Manuel Gea Gonzalez Ciudad de México MexicoDepartment of Internal Medicine Hospital General Dr. Manuel Gea Gonzalez Ciudad de México MexicoDepartment of Internal Medicine Hospital General Dr. Manuel Gea Gonzalez Ciudad de México MexicoDepartment of Internal Medicine Hospital General Dr. Manuel Gea Gonzalez Ciudad de México MexicoDepartment of Rheumatology Hospital General Dr. Manuel Gea Gonzalez Ciudad de México MexicoDepartment of Internal Medicine Hospital General Dr. Manuel Gea Gonzalez Ciudad de México MexicoABSTRACT Acute pancreatitis (AP) is a rare but life‐threatening complication in patients with systemic lupus erythematosus (SLE). The case highlights the diagnostic challenges and treatment complexities in managing SLE‐associated pancreatitis. A 20‐year‐old female with a history of SLE presented with acute onset epigastric pain, vomiting, and signs of systemic inflammation. Laboratory findings revealed elevated amylase and lipase levels, confirming AP. Imaging studies showed interstitial edematous pancreatitis and bilateral pleural effusion. The patient was managed with aggressive fluid resuscitation, pain management, and supportive care. A systemic inflammatory response complicated her clinical course, and she required intensive care unit monitoring. This case underscores the importance of early recognition of AP in SLE patients and highlights the need for a multidisciplinary approach to manage this severe complication.https://doi.org/10.1002/ccr3.9621abdominal painacute pancreatitisgastrointestinalsystemic lupus erythematosus
spellingShingle Andres Ordoñes‐Saucedo
Bruno Eduardo Reyes‐Torres
Karen Kortright‐Maldonado
Erika K. Tenorio‐Aguirre
Pedro Rodríguez‐Henríquez
Froylan D. Martínez‐Sánchez
Acute Pancreatitis Associated With Systemic Lupus Erythematosus in a Young Female: A Diagnostic and Therapeutic Challenge
Clinical Case Reports
abdominal pain
acute pancreatitis
gastrointestinal
systemic lupus erythematosus
title Acute Pancreatitis Associated With Systemic Lupus Erythematosus in a Young Female: A Diagnostic and Therapeutic Challenge
title_full Acute Pancreatitis Associated With Systemic Lupus Erythematosus in a Young Female: A Diagnostic and Therapeutic Challenge
title_fullStr Acute Pancreatitis Associated With Systemic Lupus Erythematosus in a Young Female: A Diagnostic and Therapeutic Challenge
title_full_unstemmed Acute Pancreatitis Associated With Systemic Lupus Erythematosus in a Young Female: A Diagnostic and Therapeutic Challenge
title_short Acute Pancreatitis Associated With Systemic Lupus Erythematosus in a Young Female: A Diagnostic and Therapeutic Challenge
title_sort acute pancreatitis associated with systemic lupus erythematosus in a young female a diagnostic and therapeutic challenge
topic abdominal pain
acute pancreatitis
gastrointestinal
systemic lupus erythematosus
url https://doi.org/10.1002/ccr3.9621
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