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BMJ Case Rep ; 17(6)2024 Jun 05.
Article de Anglais | MEDLINE | ID: mdl-38839406

RÉSUMÉ

Steroid-induced acute pancreatitis is a rare form of pancreatitis that requires intensive care and has a high morbidity and mortality rate as there is no specific treatment. Management of steroid-induced pancreatitis is generally non-specific and supportive. Here, we are presenting a man in his 40s presented with epigastric pain, fever and vomiting. The patient was diagnosed case of rheumatoid arthritis, for which he was receiving regular 5 mg oral prednisolone therapy. Based on history, and clinical, biochemical and radiological imaging a diagnosis of steroid-induced pancreatitis was made, which was successfully managed with the help of ulinastatin and other supportive treatments. A serine protease inhibitor like ulinastatin may be used early in the clinical management of steroid-induced pancreatitis.


Sujet(s)
Glycoprotéines , Pancréatite , Prednisolone , Inhibiteurs trypsiques , Humains , Mâle , Prednisolone/usage thérapeutique , Pancréatite/induit chimiquement , Pancréatite/traitement médicamenteux , Adulte , Inhibiteurs trypsiques/usage thérapeutique , Polyarthrite rhumatoïde/traitement médicamenteux , Glucocorticoïdes/usage thérapeutique , Glucocorticoïdes/effets indésirables
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