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  • Title: Lupus-associated pancreatitis complicated by pancreatic pseudocyst and central nervous system vasculitis.
    Author: Myung DS, Kim TJ, Lee SJ, Park SC, Kim JS, Kim JC, Yoon W, Lee SS, Park YW.
    Journal: Lupus; 2009 Jan; 18(1):74-7. PubMed ID: 19074172.
    Abstract:
    Pancreatitis is an uncommon manifestation of systemic lupus erythematosus (SLE), but this can occasionally cause major complications. We report in this article, a case of 33-year-old female patient who developed lupus-associated pancreatitis that was subsequently complicated by pancreatic pseudocyst and central nervous system (CNS) vasculitis. Abdominal computed tomography (CT) showed an oedematous swelling of the pancreas and a pseudocyst measuring 4 x 3 cm2. Brain magnetic resonance imaging (MRI) showed multiple high-signal intensity lesions in both cerebral hemispheres. The pseudocyst did not completely resolve with high-dose steroid therapy, and it was later complicated by infection and rupture. After a surgical drainage for the complicated pseudocyst, her clinical symptoms and signs were markedly improved. This case shows the importance of performing early drainage rather than conservative treatment for a pancreatic pseudocyst in a patient with lupus-associated pancreatitis.
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