Severe acute pancreatitis associated with peliosis hepatis in a patient with systemic lupus erythematosus

Acute pancreatitis is an unusual complication of systemic lupus erythematos us but can also stem from immunosuppressive therapy. Although abnormal live r tests are commonly seen in SLE, peliosis hepatis is very rarely described . We report here the first case of SLE associating a severe acute pancreati tis with peliosis hepatis who responded well to the immunosuppressive thera py. As suggested by the favourable outcome in this case, the presence of pe liosis hepatis in SLE cannot not be held as a strong argument against an ag gressive immunosuppressive therapy.