PMC5984416_01
The clinical course of the present patient, with laboratory data and details of methylprednisolone pulse therapy and subsequent oral prednisolone. Each of the important clinical events occurred during the clinical course of the patient was described by "days" after the patient's first visit to our hospital. Abbreviations: CT = computed tomography, T-Bil = serum total bilirubin, ALT = serum alanine aminotransferase, Amy = serum amylase, mPSL = methylprednisolone, PSL = prednisolone, PT = prothrombin time
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PMC5984416_01_40780_2018_111_Fig1_HTML.jpg
Fig1
Figure 1 shows the time courses of clinical events, laboratory data and medications given to the patient during her hospitalization. Since we were concerned that an abrupt withdrawal of prednisolone might have exacerbated AIH, we underwent an accelerated tapering off of the prednisolone doses according to the schedule shown in Fig. 1.
The CT image taken on Day 23 showing edematous changes around the head of pancreas (denoted by arrows). The finding is compatible with a diagnosis of acute pancreatitis
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PMC5984416_01_40780_2018_111_Fig2_HTML.jpg
Fig2
Since a plain CT scan revealed mild swelling around the pancreatic head (Fig. 2), a diagnosis of acute pancreatitis was made (day 23).