Spuriously normal amylase levels in a patient with acute pancreatitis secondary to hypertriglyceridemia.
نویسندگان
چکیده
Acute pancreatitis is a disease that has varied clinical manifestations often requiring clinicians to rely on laboratory tests, such as serum amylase and lipase, as diagnostic aids.1,2 Patients with acute pancreatitis, however, can have normal amylase levels as a result of hypertriglyceridemia. 3 The aims of this report are to describe a case of acute pancreatitis secondary to hypertriglyceridemia, to discuss the diagnostic dilemma caused by lactescent plasma, and to review the therapeutic options for this type of pancreatitis.
منابع مشابه
Hypertriglyceridemic pancreatitis associated with confounding laboratory abnormalities
We present the case of a 36-year-old woman who presented to our hospital with epigastric abdominal pain and tenderness. Laboratory evaluation identified high lipase, normal amylase, pseudohyponatremia, and relatively falsely low triglyceride levels (initial value of 2,329 mg/dl which on repeat was found to have corrected value of >10,000 mg/dl). The overall clinical picture was consistent with ...
متن کاملHypertriglyceridemic Pancreatitis and Pregnancy: A Case Report
Background & aim: Elevated triglyceride levels in women with hereditary forms of hypertriglyceridemia may involve the risk of pancreatic attacks during pregnancy. Case report:In this study, we present the clinical course of a 42-year-old pregnant woman with two vaginal deliveries and one cesarean section (gravidity: 4, parity: 3, live: 2, death: 1) admitted to our hospital. Gestational age was...
متن کاملSevere Hypertriglyceridemia Possibly Masked Acute Pancreatitis and Led to a Difficult Diagnosis in an Obese Patient with Ketoacidosis-onset Type 2 Diabetes
A young obese man with ketoacidosis-onset type 2 diabetes mellitus, associated with severe hypertriglyceridemia, was admitted to a local hospital complaining of abdominal pain. Although the abdominal pain worsened, his serum amylase level remained normal with persistent severe hypertriglyceridemia until the second day of hospitalization. The next day, computed tomography showed severe acute pan...
متن کاملHypertrygliceridemia-induced Acute Pancreatitis Following Hyperlipidemic Abdominal Crisis.
Hypertriglyceridemia is a well established cause of acute pancreatitis (AP). Multiple mechanism are proposed to explain this phenomenon, but the exact mechanism is unknown. Clinical manifestations are similar to other forms of AP. Although amylase and lipase levels exclude the diagnosis of AP in normolipidemic patients, they may be normal in hypertriglyceridemia-induced AP. Further evaluation w...
متن کاملAcute Pancreatitis Secondary to Severe Hypertriglyceridemia: Management of Severe Hypertriglyceridemia in Emergency Setting
Hypertriglyceridemia (HTG) is the third most common cause of acute pancreatitis (AP). The incidence of AP is around 10-20% with levels > 2,000 mg/dL. We present here a case of a 44-year-old male with history of uncontrolled diabetes mellitus and HTG admitted with severe abdominal pain. Labs revealed elevated lipase and amylase. CT of abdomen with contrast showed AP. He was found to have a trigl...
متن کاملذخیره در منابع من
با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید
برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید
ثبت ناماگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید
ورودعنوان ژورنال:
- The Journal of the American Board of Family Practice
دوره 12 1 شماره
صفحات -
تاریخ انتشار 1999