       Document 0003
 DOCN  M9630003
 TI    [Varicella-zoster virus pancreatitis in hematologic diseases]
 DT    9603
 AU    Pulik M; Teillet F; Teillet-Thiebaud F; Lionnet F; Genet P; Petitdidier
       C; Service d'Hematologie, Hopital Victor-Dupouy, Argenteuil
 SO    Ann Med Interne (Paris). 1995;146(5):292-4. Unique Identifier : AIDSLINE
       MED/96099552
 AB    We report four cases of varicella-zoster pancreatitis in
       immunocompromised hosts. All 4 patients presented a severe
       immunodeficiency because of chronic lymphoproliferative disorders
       (mainly lymphoma and Hodgkin disease) and long-term immunosuppressive
       therapy. Varicella zoster pancreatitis is a very unusual presentation of
       varicella-zoster infection. Few cases of pancreatitis occurring after
       bone marrow transplantation have been reported. All 4 patients presented
       with acute epigastric pain associated with transient elevation of serum
       amylase. The vesicular rash followed the presenting symptoms of severe
       abdominal pain by 8 days. This clinical presentation, occurring in
       immunocompromised patients, defines a set of symptoms which should lead
       the physician to suspect varicella-zoster pancreatitis, even in the
       initial absence of the characteristic skin vesicular eruption. Early
       institution of antiviral therapy seems mandatory.
 DE    Adult  English Abstract  Hematologic Diseases/*COMPLICATIONS  Herpes
       Zoster/*ETIOLOGY  Human  *Immunocompromised Host  Male  Middle Age
       Pancreatitis/*ETIOLOGY/VIROLOGY  Retrospective Studies  JOURNAL ARTICLE
       REVIEW  REVIEW OF REPORTED CASES

       SOURCE: National Library of Medicine.  NOTICE: This material may be
       protected by Copyright Law (Title 17, U.S.Code).

