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

Abstract EN

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±10.32 versus 16.17±7.51, P=0.03), more organ systems involvement (5.70±1.56 versus 3.96±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.