Document Detail


Sarcoidosis associated with recurrent pancreatitis.
MedLine Citation:
PMID:  9114838     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
A 56-year-old previously healthy man had two episodes of unexplained pancreatitis in the setting of constitutional symptoms, recurrent palsy of the right seventh cranial nerve, and bilateral parotitis. Chest radiography revealed marked bilateral hilar lymphadenopathy, and sarcoidosis was diagnosed by bronchoscopy with transbronchial biopsy showing noncaseating granulomas. The pancreatitis and sarcoidosis responded to corticosteroid therapy but recurred after corticosteroid dosage was reduced. Retreatment with a higher dosage of corticosteroids led to resolution of pancreatitis; 3 months later, the patient remained well and without further recurrence of pancreatitis while taking the higher dose of corticosteroids. Clinically significant pancreatitis should be included as an unusual manifestation of sarcoidosis, and corticosteroid therapy should be considered in the management of pancreatitis associated with sarcoidosis.
Authors:
A P Limaye; D Paauw; G Raghu; R A Schmidt; W C Liles
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Southern medical journal     Volume:  90     ISSN:  0038-4348     ISO Abbreviation:  South. Med. J.     Publication Date:  1997 Apr 
Date Detail:
Created Date:  1997-05-08     Completed Date:  1997-05-08     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0404522     Medline TA:  South Med J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  431-3     Citation Subset:  AIM; IM    
Affiliation:
Department of Medicine, University of Washington School of Medicine, Seattle, USA.
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MeSH Terms
Descriptor/Qualifier:
Diagnosis, Differential
Humans
Male
Middle Aged
Pancreatitis / complications*
Recurrence
Sarcoidosis, Pulmonary / complications*,  diagnosis,  therapy

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