Stomach Pain Upon Stomach Pain: Medication-Induced Pancreatitis.

drug-related side effects and adverse reactions medication side-effects medication-induced pancreatitis mercaptopurine pancreatitis and ibd

Journal

Cureus
ISSN: 2168-8184
Titre abrégé: Cureus
Pays: United States
ID NLM: 101596737

Informations de publication

Date de publication:
Feb 2023
Historique:
accepted: 27 02 2023
medline: 4 4 2023
entrez: 3 4 2023
pubmed: 4 4 2023
Statut: epublish

Résumé

As a first-line immunosuppressant to maintain remission in Crohn's disease, 6-mercaptopurine (6-MP) has been commonly used. A rare, unpredictable, dose-independent and idiosyncratic reaction to this medication is acute pancreatitis. Unlike other side effects of this drug which have been well characterized and are often dose-dependent, acute pancreatitis is an uncommon adverse effect not frequently encountered in clinical practice. In this case report, we describe a 40-year-old man with Crohn's disease who developed acute pancreatitis within two weeks of starting 6-MP. Discontinuation of the drug followed by fluid resuscitation led to the overall improvement of symptoms within 72 hours. No complications were noted during the follow-up. It is our intention to raise awareness for this lesser-known side effect with this case report and to urge physicians to provide thorough counseling prior to starting on this medication, especially in patients with inflammatory bowel disease (IBD). Additionally, we hope to reinforce this disease entity as a differential for acute pancreatitis and aim to emphasize the importance of detailed medication reconciliations with this report, especially in the emergency department, to enable quick diagnoses and limit unnecessary treatments.

Identifiants

pubmed: 37007369
doi: 10.7759/cureus.35554
pmc: PMC10060005
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e35554

Informations de copyright

Copyright © 2023, Chambers et al.

Déclaration de conflit d'intérêts

The authors have declared that no competing interests exist.

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Auteurs

Ethan K Chambers (EK)

Internal Medicine, Norwalk Hospital, Norwalk, USA.

Eugeniu Stratulat (E)

Internal Medicine, Norwalk Hospital, Norwalk, USA.

Gurjeet Judge (G)

Internal Medicine, Norwalk Hospital, Norwalk, USA.

Seaf Shafique (S)

Internal Medicine, Norwalk Hospital, Norwalk, USA.

Luisa Ladel (L)

Internal Medicine, Norwalk Hospital, Norwalk, USA.

Classifications MeSH