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Pancreatic involvement in systemic sarcoidosis. A case report
E Romboli1, D Campana, L Piscitelli
1Department of Internal Medicine and Gastroenterology, Sant'Orsola Hospital, Alma Mater Studiorum University of Bologna, Via Massarenti 9, 40138 Bologna, Italy.
Summary
Sarcoidosis can manifest as elevated pancreatic enzymes in the blood. Endoscopic ultrasonography is crucial for diagnosing pancreatic involvement, such as fibrosis, in patients with sarcoidosis.
Area of Science:
- Gastroenterology
- Endocrinology
- Immunology
Background:
- Sarcoidosis is a multisystem inflammatory disease.
- Pancreatic involvement in sarcoidosis is uncommon but recognized.
- Serum hyperenzymemia can indicate pancreatic issues.
Observation:
- A case of serum pancreatic hyperenzymemia was observed.
- This hyperenzymemia was the primary manifestation of sarcoidosis.
- Endoscopic ultrasonography confirmed pancreatic glandular fibrosis.
Findings:
- Serum pancreatic hyperenzymemia can be an initial sign of sarcoidosis.
- Pancreatic fibrosis was identified as a key pathological finding.
- Endoscopic ultrasonography is effective in detecting pancreatic changes.
Implications:
- Patients with systemic sarcoidosis and elevated amylase/lipase require pancreatic evaluation.
- Early detection of pancreatic involvement in sarcoidosis is crucial.
- Endoscopic ultrasonography is the preferred diagnostic tool for suspected pancreatic inflammation in sarcoidosis.