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  • Title: [Acute relapsing pancreatitis, revealing Crohn disease, and regressing under corticotherapy].
    Author: Malka D, Lévy P, Chemtob A, Bernades P.
    Journal: Gastroenterol Clin Biol; 1994; 18(10):892-4. PubMed ID: 7875399.
    Abstract:
    A case of acute relapsing pancreatitis revealing Crohn's disease is reported. The diagnosis of chronic pancreatitis was highly suspected because of characteristic pain, repeated serum pancreatic enzyme elevation and ultrasound, CT-scan, pancreatography, and endosonography data. None of the classical aetiologies for chronic or acute pancreatitis were found. This observation presents some outstanding particularities: a) pancreatitis revealed Crohn's disease; b) there was no duodenal involvement by Crohn's disease; c) the diagnosis of chronic pancreatitis was highly suspected; d) corticoids induced dramatic improvement of intestinal and pancreatic manifestations, and the patient remained asymptomatic during a two-year follow-up. The efficacy of corticotherapy on pancreatic disorders suggests a common mechanism explaining the two diseases.
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