Systemic-Lupus-Erythematosus-Related Acute Pancreatitis: A Cohort from South China

Abstract

Acute pancreatitis (AP) is a rare but life-threatening complication of SLE. The current study evaluated the clinical characteristics and risk factors for the mortality of patients with SLE-related AP in a cohort of South China.Methods. Inpatient medical records of SLE-related AP were retrospectively reviewed.Results. 27 out of 4053 SLE patients were diagnosed as SLE-related AP, with an overall prevalence of 0.67%, annual incidence of 0.56‰ and mortality of 37.04%. SLE patients with AP presented with higher SLEDAI score (21.70±10.32versus16.17±7.51,P=0.03), more organ systems involvement (5.70±1.56versus3.96±1.15,P=0.001), and higher mortality (37.04% versus 0,P=0.001), compared to patients without AP. Severe AP (SAP) patients had a significant higher mortality rate compared to mild AP (MAP) (75% versus 21.05%,P=0.014). 16 SLE-related AP patients received intensive GC treatment, 75% of them exhibited favorable prognosis.Conclusion. SLE-related AP is rare but concomitant with high mortality in South Chinese people, especially in those SAP patients. Activity of SLE, multiple-organ systems involvement may attribute to the severity and mortality of AP. Appropriate glucocorticosteroid (GC) treatment leads to better prognosis in majority of SLE patients with AP.