Get in touch with Ying Foo at the Royal Free
Gerald A Maguire
Dept of Clinical Biochemistry and Clinical Immunology
Addenbrooke's Hospital
Cambridge
UK
CB2 2QR
UK
Tel 44 (0) 1223 217159
fax 44 (0) 1223 216862
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> From: tox.rbh <[log in to unmask]>
> To: [log in to unmask]
> Subject: DKA & pancreatitis
> Date: Wednesday, June 23, 1999 10:09 AM
>
> A 78 year old lady was admitted in a drowsy state with a tender abdomen
and
> DKA. She had been originally been treated elswhere and we were told her
> amylase was 1800. On admission to us she was still in DKA and had an
> amylase of 710U/L (Vitros 750 ref range 40 - 110). Her DKA was treated
> appropriately and succesfully and her amylase dropped over two days to
> 410U/L. On the third day the amylase started to rise, 528U/L and it was
> noticed that her parotid glands had become hard and swollen. We cannot
> decide if her high amylase levels were due to pancreatitis, DKA or could
> it be salivary? Does anyone know about or have the ability to
differentiate
> between salivary and pancreatitic amylase?
>
> Paul Robinson
> Royal Berkshire Hospital
> Reading
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