Acute pancreatitis associated with long-term azathioprine therapy. Occurrence in a patient with systemic lupus erythematosus. 1979

L J Herskowitz, and S Olansky, and P G Lang

A 34-year-old woman with a 13-year history of systemic lupus erythematosus had been taking azathioprine (lmuran) for one year in an effort to control her cutaneous lesions and also as a steroid sparing agent. Acute pancreatitis developed, which we could not relate to her lupus, prednisone administration, viral illness, or other causes. We concluded it was due to azathioprine therapy and wish to report this unusual occurrence.

UI MeSH Term Description Entries
D008180 Lupus Erythematosus, Systemic A chronic, relapsing, inflammatory, and often febrile multisystemic disorder of connective tissue, characterized principally by involvement of the skin, joints, kidneys, and serosal membranes. It is of unknown etiology, but is thought to represent a failure of the regulatory mechanisms of the autoimmune system. The disease is marked by a wide range of system dysfunctions, an elevated erythrocyte sedimentation rate, and the formation of LE cells in the blood or bone marrow. Libman-Sacks Disease,Lupus Erythematosus Disseminatus,Systemic Lupus Erythematosus,Disease, Libman-Sacks,Libman Sacks Disease
D010195 Pancreatitis INFLAMMATION of the PANCREAS. Pancreatitis is classified as acute unless there are computed tomographic or endoscopic retrograde cholangiopancreatographic findings of CHRONIC PANCREATITIS (International Symposium on Acute Pancreatitis, Atlanta, 1992). The two most common forms of acute pancreatitis are ALCOHOLIC PANCREATITIS and gallstone pancreatitis. Acute Edematous Pancreatitis,Acute Pancreatitis,Pancreatic Parenchyma with Edema,Pancreatic Parenchymal Edema,Pancreatitis, Acute,Pancreatitis, Acute Edematous,Peripancreatic Fat Necrosis,Acute Edematous Pancreatitides,Acute Pancreatitides,Edema, Pancreatic Parenchymal,Edematous Pancreatitides, Acute,Edematous Pancreatitis, Acute,Fat Necrosis, Peripancreatic,Necrosis, Peripancreatic Fat,Pancreatic Parenchymal Edemas,Pancreatitides, Acute,Pancreatitides, Acute Edematous,Parenchymal Edema, Pancreatic,Peripancreatic Fat Necroses
D011241 Prednisone A synthetic anti-inflammatory glucocorticoid derived from CORTISONE. It is biologically inert and converted to PREDNISOLONE in the liver. Dehydrocortisone,delta-Cortisone,Apo-Prednisone,Cortan,Cortancyl,Cutason,Dacortin,Decortin,Decortisyl,Deltasone,Encorton,Encortone,Enkortolon,Kortancyl,Liquid Pred,Meticorten,Orasone,Panafcort,Panasol,Predni Tablinen,Prednidib,Predniment,Prednison Acsis,Prednison Galen,Prednison Hexal,Pronisone,Rectodelt,Sone,Sterapred,Ultracorten,Winpred,Acsis, Prednison
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000208 Acute Disease Disease having a short and relatively severe course. Acute Diseases,Disease, Acute,Diseases, Acute
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D001379 Azathioprine An immunosuppressive agent used in combination with cyclophosphamide and hydroxychloroquine in the treatment of rheumatoid arthritis. According to the Fourth Annual Report on Carcinogens (NTP 85-002, 1985), this substance has been listed as a known carcinogen. (Merck Index, 11th ed) Azathioprine Sodium,Azathioprine Sodium Salt,Azathioprine Sulfate,Azothioprine,Immuran,Imuran,Imurel,Sodium, Azathioprine

Related Publications

L J Herskowitz, and S Olansky, and P G Lang
January 1975, Arthritis and rheumatism,
L J Herskowitz, and S Olansky, and P G Lang
December 2022, Cureus,
L J Herskowitz, and S Olansky, and P G Lang
November 2000, The Journal of rheumatology,
L J Herskowitz, and S Olansky, and P G Lang
December 2012, Zhongguo dang dai er ke za zhi = Chinese journal of contemporary pediatrics,
L J Herskowitz, and S Olansky, and P G Lang
January 2001, Acta gastro-enterologica Belgica,
L J Herskowitz, and S Olansky, and P G Lang
January 2001, Lupus,
L J Herskowitz, and S Olansky, and P G Lang
January 2005, Acta chirurgica Belgica,
L J Herskowitz, and S Olansky, and P G Lang
August 2003, European journal of gastroenterology & hepatology,
L J Herskowitz, and S Olansky, and P G Lang
June 1999, Ryumachi. [Rheumatism],
L J Herskowitz, and S Olansky, and P G Lang
February 1995, Arthritis and rheumatism,
Copied contents to your clipboard!