2004, Number 3
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Gac Med Mex 2004; 140 (3)
Acute Pancreatitis, Diabetes, and Sarcoidosis. Case Report and Review of the literature.
Sánchez-Lozada R, Soriano-Rosas J, Gutiérrez-Vega R
Language: Spanish
References: 20
Page: 343-346
PDF size: 508.48 Kb.
ABSTRACT
Introduction: Sarcoidosis is a systemic, chronic,
granulomatous disease of unknown cause. Pancreatic
affection is rare and even more rare is the association
among sarcoidosis, acute pancreatitis and diabetes mellitus.
This is the first case reported in Mexico. Case report: Male
29 years. Sarcoidosis is diagnosed from the patient age of
20 years, with intermittent episodes affecting articulate,
ophthalmic, cutaneous, lung and central nervous system.
At 22 years of age the patient was diagnostic with diabetes
mellitus. He was admitted with severe acute pancreatitis,
that causes him to die.
Discussion: Diabetes mellitus is due to sarcoidotic
infiltration of pancreas. Acute pancreatitis has been related
with inflammatory or secondary process to frequent presence
of hypercalcemia in the sarcoidosis. Diagnosis is not easy.
This type of pancreatitis responds to treatment with steroids.
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