A case of eosinophilic pancreatitis in a patient with ulcerative colitis. Issue 2 (27th February 2023)

• Record Type: Journal Article
• Authors: Toyoda, Koji; Katayama, Yasumi; Kobori, Ikuhiro; Kitahama, Akihiro; Kusano, Yumi; Ono, Yuko; Ban, Shinichi; Tamano, Masaya
• Is Part Of: Oxford medical case reports. Volume 2023:Issue 2(2023)
• Publication Date: 2023-02-27
• Subjects: Clinical medicine -- Case studies -- Periodicals; 616.09
• DOI: 10.1093/omcr/omac157
• Languages: English
• ISSNs: 2053-8855

Abstract

ABSTRACT: Eosinophilic pancreatitis (EP) is very rare and characterised by infiltration of eosinophils into the pancreatic parenchyma. A 40-year-old man was diagnosed with total-colitis-type ulcerative colitis at the age of 15 years. He was then diagnosed with steroid-dependent ulcerative colitis. He was given golimumab, which resulted in remission. Ten months after beginning golimumab, he was urgently hospitalised with a diagnosis of acute pancreatitis. Hence, endoscopic ultrasound-guided fine needle biopsy was performed to obtain a definitive diagnosis. Pathologically, abundant infiltration of eosinophils was observed in the edematous intralobular stroma of the pancreas. He was diagnosed with EP, and treated with corticosteroids.