To complete the findings in this case: a CT scan of
pancreas did not show any abnormality and serum lipase
level was 3476 U/L (22 - 51), in the sample with peak
amylase of 1483 IU/L. Patient was discharged home well
6 days after her admission with DKA. Did she have
acute pancreatitis?
Mohammad
--- William Marshall <[log in to unmask]>
wrote: > What did pancreatic ultrasound show? Did you
do a
> lipase? What happened to
> the amylase once her oliguria resolved?
> WM
> At 12:23 15/10/2002 +0100, Mohammad Al-Jubouri
> wrote:
> >Dear All
> >
> >A 17-year-old lady was admitted to our HDU with DKA
> >last week end. She had abdominal pain and her serum
> >amylase was elevated at 1483 IU/L (16 - 108). This
> is
> >too high for DKA associated hyperamylasaemia and I
> >would certainly consider acute pancreatitis either
> >causing the DKA or coincidental with it. The
> admission
> >sample was certainly grossly lipaemic which raises
> the
> >possibility of hypertriglycerdiamia induced acute
> >pancreatitis. My question is, what are amylase
> levels
> >that can be attributed to DKA only and what is the
> >cause of this elevation in the absence of acute
> >pancreatitis?
> >
> >thanks
> >
> >Mohammad
> >
> >=====
> >Dr. M A Al-Jubouri
> >Consultant Chemical Pathologist
> >
> >__________________________________________________
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=====
Dr. M A Al-Jubouri
Consultant Chemical Pathologist
__________________________________________________
Do You Yahoo!?
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http://uk.my.yahoo.com
------ACB discussion List Information--------
This is an open discussion list for the academic and clinical
community working in clinical biochemistry.
Please note, archived messages are public and can be viewed
via the internet. Views expressed are those of the individual and
they are responsible for all message content.
ACB Web Site
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