Acute pancreatitis, diabetes, and sacoidosis. Case report and review of the literature
Sánchez-Lozada, Rúl.; Soriano-Rosas, J.; Gutiérrez-Vega, R.
Gaceta Medica de Mexico 140(3): 343-345
2004
ISSN/ISBN: 0016-3813 PMID: 15259348 Document Number: 584129
Sarcoidosis is a systemic, chronic, granulomatous disease of unknown cause. Pancreatic affection is rare and even more rare is the association among sarcoidosis, acute pancreatitis and diabetes mellitus. This is the first case reported in Mexico. Male 29 years. Sarcoidosis is diagnosed from the patient age of 20 years, with intermittent episodes affecting articulate, ophthalmic, cutaneous, lung and central nervous system. At 22 years of age the patient was diagnostic with diabetes mellitus. He was admitted with severe acute pancreatitis, that causes him to die. Diabetes mellitus is due to sarcoidotic infiltration of pancreas. Acute pancreatitis has been related with inflammatory or secondary process to frequent presence of hypercalcemia in the sarcoidosis. Diagnosis is not easy. This type of pancreatitis responds to treatment with steroids.