Hypertriglyceridemic pancreatitis associated with confounding laboratory abnormalities
| Autor: | David Gish, Madan Raj Aryal, Salik Nazir, Stephen Melnick |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2016 |
| Předmět: |
medicine.medical_specialty
lcsh:Internal medicine medicine.medical_treatment Internal Medicine gastroenterology endocrinology pancreatitis Case Report 030204 cardiovascular system & hematology Gastroenterology Epigastric pain 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Internal medicine Internal Medicine Medicine epigastric pain hypertriglyceride lcsh:RC31-1245 Triglyceride business.industry Insulin Confounding Hypertriglyceridemia medicine.disease Surgery chemistry Acute pancreatitis Pancreatitis Plasmapheresis business 030217 neurology & neurosurgery |
| Zdroj: | Journal of Community Hospital Internal Medicine Perspectives, Vol 6, Iss 3, Pp 1-2 (2016) Journal of Community Hospital Internal Medicine Perspectives Journal of Community Hospital Internal Medicine Perspectives; Vol 6, No 3 (2016) |
| ISSN: | 2000-9666 |
| Popis: | 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 acute pancreatitis due to hypertriglyceridemia. The patient was commenced on IV insulin and eventually required plasmapheresis with good clinical outcome. This case highlights the importance of being cognizant of falsely low amylase and TG levels that can be present in patients with hypertriglycereidemic pancreatitisKeywords: hypertriglyceride; pancreatitis; epigastric pain(Published: 6 July 2016)Citation: Journal of Community Hospital Internal Medicine Perspectives 2016, 6: 31808 - http://dx.doi.org/10.3402/jchimp.v6.31808 |
| Databáze: | OpenAIRE |
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