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Case Report
Acute pancreatitis secondary to acute undiagnosed lupus: A case report
1 MD, Emergency Medicine, NYC+HHC/Lincoln, The Bronx, NY, USA
2 MS-IV, St. George’s University School of Medicine, Grenada, West Indies
3 MD, Internal Medicine, NYC+HHC/Lincoln, The Bronx, NY, USA
4 MD, Internal Medicine, NYC+HHC/Lincoln, The Bronx, NY, USA; Director of Inpatient Diabetes Care and Stroke Management for the Division of Hospital Medicine
Address correspondence to:
Shayan Azizi
MD, Department of Emergency Medicine, Lincoln Medical Center, 234 E 149th Street, The Bronx, NY 10451,
USA
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Article ID: 101405Z01SA2023
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How to cite this article
Azizi S, Jain A, Gutierrez JO, Kaner FB, Khanna R. Acute pancreatitis secondary to acute undiagnosed lupus: A case report. Int J Case Rep Images 2023;14(2):26–31.ABSTRACT
Introduction: Pancreatitis is the acute inflammation of the pancreas associated with mortality, commonly presenting to the emergency department with significant abdominal pain, nausea and vomiting, and in severe cases, acute respiratory distress syndrome (ARDS).
Case Report: We present a rare case of pancreatitis secondary to acute systemic lupus erythematosus in a young patient with no past medical history and undiagnosed systemic lupus erythematosus (SLE). The patient had no classic exposures or ingestions of common causes of pancreatitis, and underwent an extensive workup with prolonged hospitalization until the antibody investigations revealed acute SLE.
Conclusion: This case illustrates the importance of keeping autoimmunity as a potential cause of acute pancreatitis particularly in a patient with no other classic cause of pancreatitis. Despite SLE being described as a rare and uncommon cause of pancreatitis in patients with known SLE diagnosis, this case sheds significant light on pancreatitis being a first-time presentation in a patient with no past diagnosis of SLE. Awareness of this etiology may help prevent extended hospitalizations, decrease complications, and improve mortality in respective patients with undifferentiated acute pancreatitis.
Keywords: Autoimmune, Lupus, Pancreatitis, Rheumatology
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Author Contributions
Shayan Azizi - Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Aishvarya Jain - Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Jorge O Gutierrez - Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Fatih B Kaner - Drafting the work, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Rajan Khanna - Conception of the work, Design of the work, Drafting the work, Revising the work critically for important intellectual content, Final approval of the version to be published, Agree to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
Guarantor of SubmissionThe corresponding author is the guarantor of submission.
Source of SupportNone
Consent StatementWritten informed consent was obtained from the patient for publication of this article.
Data AvailabilityAll relevant data are within the paper and its Supporting Information files.
Conflict of InterestAuthors declare no conflict of interest.
Copyright© 2023 Shayan Azizi et al. This article is distributed under the terms of Creative Commons Attribution License which permits unrestricted use, distribution and reproduction in any medium provided the original author(s) and original publisher are properly credited. Please see the copyright policy on the journal website for more information.
