Document Detail


Recurrent acute pancreatitis possibly induced by atorvastatin and rosuvastatin. Is statin induced pancreatitis a class effect?
MedLine Citation:
PMID:  15536291     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
CONTEXT: Few data exist about the incidence of drug-induced pancreatitis in the general population. Drugs are related to the etiology of pancreatitis in about 1.4-2% of cases. While statins are generally well tolerated they have been known to be associated with pancreatitis. Acute pancreatitis has been reported in a few cases treated with atorvastatin, fluvastatin, lovastatin, simvastatin and pravastatin. CASE REPORT: We report the case of a 77-year-old patient who developed acute pancreatitis after treatment with rosuvastatin, which resolved on withdrawal of the medication. She had a similar episode of pancreatitis a year ago precipitated by atorvastatin, which resolved on withdrawal. Extensive workup on both occasions failed to reveal any other etiology for the pancreatitis. CONCLUSION: To our knowledge this is the first report of rosuvastatin-induced pancreatitis. The occurrence of pancreatitis with two different statins in our patient argues that statins induced pancreatitis may be a class-effect of statins. With statin prescriptions on the rise clinicians need to be aware of this complication of statin treatment and remember that the newest statin, rosuvastatin is not dissimilar to the other statins in causing pancreatitis.
Authors:
Sonal Singh; Amit Nautiyal; James G Dolan
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2004-11-10
Journal Detail:
Title:  JOP : Journal of the pancreas     Volume:  5     ISSN:  1590-8577     ISO Abbreviation:  JOP     Publication Date:  2004 Nov 
Date Detail:
Created Date:  2004-11-10     Completed Date:  2005-11-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101091810     Medline TA:  JOP     Country:  Italy    
Other Details:
Languages:  eng     Pagination:  502-4     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, Unity Health System, Rochester, NY 14626, USA. ssingh@unityhealth.org
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Aged
Female
Fluorobenzenes / adverse effects*
Heptanoic Acids / adverse effects*
Humans
Hydroxymethylglutaryl-CoA Reductase Inhibitors / adverse effects*
Pancreatitis / chemically induced*
Pyrimidines / adverse effects*
Pyrroles / adverse effects*
Recurrence
Sulfonamides / adverse effects*
Chemical
Reg. No./Substance:
0/Fluorobenzenes; 0/Heptanoic Acids; 0/Hydroxymethylglutaryl-CoA Reductase Inhibitors; 0/Pyrimidines; 0/Pyrroles; 0/Sulfonamides; 110862-48-1/atorvastatin; 287714-41-4/rosuvastatin

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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