E-ISSN 2534-9821
 

Case Report 


Pancreatic pseudocyst as initial presentation of a 22-year-old male lupus patient

Tauhidul Alam Choudhury, Brajendra Lahkar, Bhaskar Jyoti Sarma.

Abstract
Systemic Lupus Erythematosus (SLE) related acute pancreatitis is an unusual feature of SLE that lead to serious complication like pancreatic pseudocyst. Acute pancreatitis or pancreatic pseudocyst as the initial presentation of SLE is rarely been reported. A 22-year-old gentleman presented with fever, abdominal pain with distension and facial puffiness. Examination revealed anaemia, Alopecia, tachycardia, oedema, Blood pressure of 110/70 mm of Hg, abdominal tenderness, abdominal distension and crackles. Urine examination showed active sediments with proteinuria of 3.8g/day. ANA and Ani-dsDNA were positive. Serum amylase and Lipase were 192U/L and 658U/L respectively. A computed tomography scan showed a Pancreatic pseudocyst of size 55 42 38 mm. Kidney biopsy revealed diffuse proliferative glomerulonephritis with full house immune complexes. Follow-up ultrasonography showed resolution of Pseudocyst.
Conclusion: High index of suspicion is required to diagnose SLE related pancreatitis as presenting features of SLE may mask it. This might ensure early diagnosis and treatment to prevent complications of the disease.

Key words: systemic lupus erythematosus, pancreatic pseudocyst, acute pancreatitis


 
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How to Cite this Article
Pubmed Style

Choudhury TA, Lahkar B, Sarma BJ. Pancreatic pseudocyst as initial presentation of a 22-year-old male lupus patient. Int J Med Rev Case Rep. 2021; 5(5): 128-131. doi:10.5455/IJMRCR.Pancreatic-pseudocyst-lupus


Web Style

Choudhury TA, Lahkar B, Sarma BJ. Pancreatic pseudocyst as initial presentation of a 22-year-old male lupus patient. http://www.mdpub.net/?mno=78315 [Access: December 31, 2021]. doi:10.5455/IJMRCR.Pancreatic-pseudocyst-lupus


AMA (American Medical Association) Style

Choudhury TA, Lahkar B, Sarma BJ. Pancreatic pseudocyst as initial presentation of a 22-year-old male lupus patient. Int J Med Rev Case Rep. 2021; 5(5): 128-131. doi:10.5455/IJMRCR.Pancreatic-pseudocyst-lupus



Vancouver/ICMJE Style

Choudhury TA, Lahkar B, Sarma BJ. Pancreatic pseudocyst as initial presentation of a 22-year-old male lupus patient. Int J Med Rev Case Rep. (2021), [cited December 31, 2021]; 5(5): 128-131. doi:10.5455/IJMRCR.Pancreatic-pseudocyst-lupus



Harvard Style

Choudhury, T. A., Lahkar, . B. & Sarma, . B. J. (2021) Pancreatic pseudocyst as initial presentation of a 22-year-old male lupus patient. Int J Med Rev Case Rep, 5 (5), 128-131. doi:10.5455/IJMRCR.Pancreatic-pseudocyst-lupus



Turabian Style

Choudhury, Tauhidul Alam, Brajendra Lahkar, and Bhaskar Jyoti Sarma. 2021. Pancreatic pseudocyst as initial presentation of a 22-year-old male lupus patient. International Journal of Medical Reviews and Case Reports, 5 (5), 128-131. doi:10.5455/IJMRCR.Pancreatic-pseudocyst-lupus



Chicago Style

Choudhury, Tauhidul Alam, Brajendra Lahkar, and Bhaskar Jyoti Sarma. "Pancreatic pseudocyst as initial presentation of a 22-year-old male lupus patient." International Journal of Medical Reviews and Case Reports 5 (2021), 128-131. doi:10.5455/IJMRCR.Pancreatic-pseudocyst-lupus



MLA (The Modern Language Association) Style

Choudhury, Tauhidul Alam, Brajendra Lahkar, and Bhaskar Jyoti Sarma. "Pancreatic pseudocyst as initial presentation of a 22-year-old male lupus patient." International Journal of Medical Reviews and Case Reports 5.5 (2021), 128-131. Print. doi:10.5455/IJMRCR.Pancreatic-pseudocyst-lupus



APA (American Psychological Association) Style

Choudhury, T. A., Lahkar, . B. & Sarma, . B. J. (2021) Pancreatic pseudocyst as initial presentation of a 22-year-old male lupus patient. International Journal of Medical Reviews and Case Reports, 5 (5), 128-131. doi:10.5455/IJMRCR.Pancreatic-pseudocyst-lupus