Print

Print


I believe there is a lectin that canbe used to selectively inhibit one or
other amylase: I can't remember where I saw this though - Details may be
available on Medline.

TIM
-----Original Message-----
From: tox.rbh <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 23 June 1999 10:07
Subject: DKA & pancreatitis


>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



%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%