Antiphospholipid Syndrome Presenting as Recurrent Pancreatitis and Renal Thrombotic Microangiopathy.
10.3904/kjm.2015.89.5.598
- Author:
Hae Kyung LEE
1
;
Shin Ok JEONG
;
Yunsuek KIM
;
So Young JIN
;
Hyun Sook KIM
;
Young Deok CHO
Author Information
1. Department of Internal Medicine, Soonchunhyang University Seoul Hospital, Soonchunhyang University College of Medicine, Seoul, Korea. healthyra@schmc.ac.kr
- Publication Type:Case Report
- Keywords:
Antiphospholipid syndrome;
Pancreatitis;
Thrombotic microangiopathy
- MeSH:
Abdominal Pain;
Acute Kidney Injury;
Adult;
Amylases;
Antibodies, Antiphospholipid;
Antiphospholipid Syndrome*;
Early Diagnosis;
Female;
Humans;
Korea;
Lipase;
Pancreatitis*;
Thrombosis;
Thrombotic Microangiopathies*
- From:Korean Journal of Medicine
2015;89(5):598-603
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Antiphospholipid syndrome (APS) is characterized by vascular thrombosis or recurrent fetal loss in the presence of antiphospholipid antibodies. APS has various manifestations because it can involve any vessel in most organs and tissues. There are a few reports of acute pancreatitis or renal thrombotic microangiopathy accompanying APS, but none on concurrent acute pancreatitis and renal thrombotic microangiopathy in Korea. The clinical consequences can be devastating, so a high index of suspicion is necessary for early diagnosis and treatment. We report an unusual case of APS-associated recurrent pancreatitis and renal thrombotic microangiopathy. A 33-year-old woman was admitted for severe epigastric pain attributed to acute pancreatitis. She subsequently developed an acute kidney injury and the histology revealed thrombotic microangiopathy. Four weeks later, she was readmitted with recurrent pancreatitis. After treatment with anticoagulation and low-dose steroid, her abdominal pain subsided and the amylase and lipase levels normalized.
