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Published on: February 3, 2012
Azathioprine-Associated Acute Pancreatitis Followed by a Probable Autoimmune Hepatitis Flare After Thiopurine
Emmanuel Marfo1,2, Vicki Oladoyin1,2, Julia Liu3,4
1Internal Medicine, Morehouse School of Medicine, Atlanta, USA.
Abstract:
Azathioprine is commonly used in the management of inflammatory bowel disease and autoimmune hepatitis (AIH). Acute pancreatitis is a recognized idiosyncratic adverse effect that necessitates drug discontinuation. In patients with immune-mediated liver disease, abrupt withdrawal of immunosuppression may predispose to disease flares. We present a case of probable azathioprine-associated acute pancreatitis, followed by biochemical hepatitis consistent with a probable AIH flare after thiopurine cessation. This case highlights the clinical challenge of balancing adverse drug reactions with maintenance of disease control in patients requiring chronic immunosuppression.
Related Concept Videos
Acute Pancreatitis I: Introduction
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include:
Chronic Pancreatitis I: Introduction
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
Acute Pancreatitis I: Introduction
Acute Pancreatitis II: Pathophysiology
Chronic Pancreatitis I: Introduction
Chronic Pancreatitis II: Pathophysiology

