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Acute pancreatitis as the initial presentation in pediatric systemic lupus erythematosus
Winsley Rose1, Mammen M Puliyel, Prabhakar D Moses
1Departments of Child Health and Rheumatology and Immunology, Christian Medical College, Vellore 632004, India.
Abstract:
It is exceptionally rare for acute pancreatitis to be the presenting manifestation of childhood systemic lupus erythematosus. We report a 14-year-old girl who presented with a history of fever, generalized rash, arthralgia and abdominal pain. Her serum amylase was 1472U/L and lipase 3316 U/L suggestive of acute pancreatitis. Other investigations revealed pancytopenia, low complement, high 24-hour urinary protein and elevated ANA and dsDNA. She was treated with IV methylprednisone, followed by oral steroids.
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