Baclofen-Induced胰腺炎。

Q3 Medicine
European journal of case reports in internal medicine Pub Date : 2025-04-18 eCollection Date: 2025-01-01 DOI:10.12890/2025_005393
Nicolas Nassif, Nadia Katrib, Karam Karam, Elias Fiani
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引用次数: 0

摘要

急性胰腺炎是胰腺的一种炎症,可由多种病因引起,其中一种是药物性胰腺炎,这是一种相对罕见的病因。在没有任何常见沉淀物(如酒精、胆结石、创伤)的情况下,出现胃脘痛、胰酶升高、影像学表现符合急性胰腺炎的患者应考虑药物性胰腺炎。我们报告一例急性胰腺炎开始巴氯芬治疗后,没有其他可识别的危险因素。通过Naranjo药物不良反应概率量表建立可能的药物不良反应。本病例强调医生需要考虑巴氯芬作为急性胰腺炎的潜在原因。学习要点:考虑到患者在开始使用巴氯芬后的表现和没有其他可识别的原因,本病例提示巴氯芬和急性胰腺炎之间可能存在关联。医生在开处方时应认识到巴氯芬引起这种炎症的可能性,并将其作为不明原因急性胰腺炎病例的鉴别诊断。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Baclofen-Induced Pancreatitis.

Acute pancreatitis is an inflammatory condition of the pancreas that can result from various aetiologies, one of them being drug-induced pancreatitis, a relatively rare cause. Drug-induced pancreatitis should be considered in patients presenting with epigastric pain, elevated pancreatic enzymes, and imaging findings consistent with acute pancreatitis, in the absence of any common precipitants such as alcohol, gallstones, trauma. We report a case of acute pancreatitis following the initiation of baclofen therapy, with no other identifiable risk factors. A probable drug adverse reaction was established through the Naranjo Adverse Drug Reaction Probability Scale. This case highlights the need for physicians to consider baclofen as a potential cause of acute pancreatitis.

Learning points: Given the patient's presentation following baclofen initiation and absence of other identifiable causes, this case suggests a probable association between baclofen and acute pancreatitis.Physicians should recognize the potential of baclofen to cause this inflammation when prescribing it and consider it as a differential diagnosis in cases of unexplained acute pancreatitis.

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来源期刊
CiteScore
2.10
自引率
0.00%
发文量
166
审稿时长
8 weeks
期刊介绍: The European Journal of Case Reports in Internal Medicine is an official journal of the European Federation of Internal Medicine (EFIM), representing 35 national societies from 33 European countries. The Journal''s mission is to promote the best medical practice and innovation in the field of acute and general medicine. It also provides a forum for internal medicine doctors where they can share new approaches with the aim of improving diagnostic and clinical skills in this field. EJCRIM welcomes high-quality case reports describing unusual or complex cases that an internist may encounter in everyday practice. The cases should either demonstrate the appropriateness of a diagnostic/therapeutic approach, describe a new procedure or maneuver, or show unusual manifestations of a disease or unexpected reactions. The Journal only accepts and publishes those case reports whose learning points provide new insight and/or contribute to advancing medical knowledge both in terms of diagnostics and therapeutic approaches. Case reports of medical errors, therefore, are also welcome as long as they provide innovative measures on how to prevent them in the current practice (Instructive Errors). The Journal may also consider brief and reasoned reports on issues relevant to the practice of Internal Medicine, as well as Abstracts submitted to the scientific meetings of acknowledged medical societies.
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