Systemic Lupus Erythematosus with Acute Pancreatitis

Abstract

A 41-year-old woman had multiple arthralgia and a slowly developing disseminated eruption for ten years. For one month before the first visit and admission to our clinic, she had a high fever and sore throat. After admission, 7 signs of SLE were evident; DLE eruption, oral ulcers, arthritis, renal dysfunction, leukopenia, anti-DNA Ab and ANA. Two days after being put on 60 mg of predonisolone, she had severe abdominal pain and an acute pancreatitis was detected. Despite surgical treatment, she died. Acute bleeding pancreatitis, acute stomach ulcers, lung aspergillus infection, slight liver damage etc were present at autopsy. The relationship between acute pancreatitis and SLE is discussed.