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Rheumatology 2002; 41: 467-469
© 2002 British Society for Rheumatology

Paediatric Rheumatology

Acute lethal pancreatitis in childhood systemic lupus erythematosus

Paediatric Rheumatology/Series Editor: P. Woo

A. V. Ramanan, A. D. Thimmarayappa and E. M. Baildam

Department of Paediatric Rheumatology, Royal Manchester Children's Hospital, Charlestown Road, Blackley, Manchester M9 7AA, UK

Childhood systemic lupus erythematosus (SLE) is a multisystem disease with protean manifestations. Pancreatitis in adult-onset lupus is a well recognized but rare complication. We report a child with SLE who developed fatal pancreatitis shortly after presentation. We believe that there are only three other reports of this complication in the literature, and our report is the first case of fatal pancreatitis on initial presentation [1–2].

A 14-yr-old girl presented to a district general hospital with a 4-week history of rashes on her face, later spreading to the trunk. She had stomatitis, vomiting, diarrhoea, anorexia and marked weight loss. On examination, her weight was 40 kg (along . . . [Full Text of this Article]

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