Fatal Acute Pancreatitis with Cystic Formation in Reactive Systemic AA Amyloidosis Secondary to Rheumatoid Arthritis

Masayuki MATSUDA; Shunpei SAKURAI; Akio SUZUKI; Masumi KADOYA; Shu-ichi IKEDA

doi:10.2169/internalmedicine.42.888

Masayuki MATSUDA, Shunpei SAKURAI, Akio SUZUKI, Masumi KADOYA, Shu-ichi IKEDA

Author information

Keywords: pseudocyst, serum amyloid A, gastrointestinal tract, magnetic resonance cholangiopancreatography, renal fascia, pleural effusion

JOURNAL FREE ACCESS

2003 Volume 42 Issue 9 Pages 888-892

DOI https://doi.org/10.2169/internalmedicine.42.888

Details

Abstract

We report a patient with reactive systemic AA amyloidosis secondary to rheumatoid arthritis who showed fatal acute pancreatitis with a cystic formation in the pancreas head. The pancreatitis rapidly worsened despite intensive treatment and resulted in death. In this patient severe deposition of amyloid in the gastrointestinal tract was considered to play an important role in the pathogenesis of the acute pancreatitis. This is an unusual complication in patients with AA amyloidosis, but we should consider it as a possible diagnosis when patients with AA amyloidosis show recurrent or intractable pain in the upper abdomen.
(Internal Medicine 42: 888-892, 2003)

Corresponding author

Register with J-STAGE for free!