scholarly journals Severe deafness in systemic lupus erythematosus: its immediate relief by plasma exchange.

BMJ ◽  
1982 ◽  
Vol 284 (6326) ◽  
pp. 1374-1374 ◽  
Author(s):  
T J Hamblin ◽  
G J Mufti ◽  
A Bracewell



2011 ◽  
Vol 19 (5) ◽  
pp. 379-381 ◽  
Author(s):  
Erika Damato ◽  
Michael Chilov ◽  
Richard Lee ◽  
Anurag Singh ◽  
Stephen Harper ◽  
...  


Lupus ◽  
2005 ◽  
Vol 14 (11) ◽  
pp. 871-877 ◽  
Author(s):  
C Pagnoux ◽  
J-M Korach ◽  
L Guillevin


1988 ◽  
Vol 17 (sup67) ◽  
pp. 44-46 ◽  
Author(s):  
M. Von Bonsdorff ◽  
C. Friman ◽  
E. Honkanen ◽  
T. Pettersson ◽  
Y. Konttinen


Lupus ◽  
2020 ◽  
Vol 30 (1) ◽  
pp. 5-14
Author(s):  
Alina Dima ◽  
Daniel Vasile Balaban ◽  
Ciprian Jurcut ◽  
Mariana Jinga

Introduction Systemic lupus erythematosus (SLE) is a complex autoimmune pathology that can involve any organ. Lupus-related acute pancreatitis (AP) is, together with lupus mesenteric vasculitis, an important cause of SLE-induced acute abdominal pain. Methods A literature search was conducted using the terms “Pancreatitis” and “Lupus Erythematosus, Systemic” on PubMed/Medline and Web of Science from January 2007 to January 2020. Clinical characteristics, diagnostic approach, and treatment principles in SLE-related AP are presented in this review. Results Mainly retrospective reports were identified. The reported incidence of SLE-associated AP ranges from 0.9 to more than 5% of patients. A total of 264 SLE patients were found in the selected research, with a net female predominance (sex ratio 9:1) and mean age of 31.4 years. Abdominal pain was virtually present in all cases. AP occurrence was more frequent in SLE patients with short disease duration, high activity scores, and multiorgan involvement. The AP definition was based on currently available guidelines and after exclusion of any other known causes (including iatrogenic, i.e. drugs), a diagnosis of “idiopathic” SLE-related AP might be sustained. Management is difficult, as there is no standardized therapeutic approach. Of note, glucocorticoid use remains still controversial as, especially for high doses, subsequent pancreatic injury may occur. Monitoring serum lipase levels after high dose steroids might be considered. One study reported beneficial prognostic effect of plasma exchange. Moreover, AP in SLE might raise awareness about macrophage activation syndrome association. Mortality up to one third of AP cases in SLE was reported. Conclusion The SLE-related AP is a rare, but severe, life-threatening complication. Corticosteroids must be used with caution. Plasma exchange could be considered in selected cases.





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