Systemic Lupus Erythematosus with Acute Pancreatitis as an Initial Presentation

Abstract

Systemic Lupus Erythematosus (SLE) is an autoimmune, chronic inflammatory disorder affecting mainly the women. Almost half of the SLE patients have gastrointestinal involvement. SLE associated gastrointestinal symptoms are life-threatening, therefore they should be treated immediately. Acute pancreatitis is considered as one of the rarerest complications of SLE. Here we report our experience on three cases of SLE who had acute pancreatitis as the primary presentation. Three women who presented with acute pancreatitis as an initial complaint belongs to the age group of 19 to 27 years. Later on, the diagnosis of SLE associated pancreatitis was established. Diagnosis was confirmed based on clinical, biochemical and abdominal CT findings. Though, it is a life-threatening condition, early diagnosis and prompt treatment with corticosteroids will have a good prognosis.

Keywords

• anti-nuclear antibody
• corticosteroids
• erythrocyte sedimentation rate
• lupus nephritis