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Celecoxib-Induced Acute Pancreatitis and Hepatitis: A Case Report
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Celecoxib (Celebrex; Searle & Co Pharmaceuticals, Skokie, Ill, and Pfizer Inc, New York, NY) is a new and popular nonsteroidal anti-inflammatory drug (NSAID) that selectively inhibits cyclooxygenase 2.1 It is approved for the treatment of both rheumatoid arthritis and osteoarthritis. Recognized adverse reactions include gastrointestinal hemorrhage, hepatitis, abdominal pain, and diarrhea. It should not be administered to patients with allergies to sulfa drugs. Acute pancreatitis has not been reported with the use of celecoxib.
Report of a Case
An 84-year-old woman presented with severe abdominal pain 2 days after she began taking celecoxib for knee pain. Her medical history was significant for hypertension, mild hypertriglyceridemia, and a cholecystectomy in the distant past. Her medications included estrogen (Premarin) and a thiazide diuretic. She reported an allergy to sulfa medication and denied alcohol intake.
Results
On physical examination, the patient was afebrile and nonicteric. Abdominal examination revealed severe epigastric tenderness without peritoneal signs. Laboratory findings on admission . . . [Full Text of this Article] Comment
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