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高甘油三酯血症诱发的复发性急性胰腺炎:基于病例的综述

Hypertriglyceridemia-induced recurrent acute pancreatitis: A case-based review.

作者信息

Kota Sunil K, Kota Siva K, Jammula Sruti, Krishna S V S, Modi Kirtikumar D

机构信息

Department of Endocrinology, Medwin Hospital, Hyderabad, Andhra Pradesh, India.

出版信息

Indian J Endocrinol Metab. 2012 Jan;16(1):141-3. doi: 10.4103/2230-8210.91211.

Abstract

Hypertriglyceridemia is a rare, but well-known cause of acute pancreatitis. A serum triglyceride level of more than 1000 to 2000 mg / dl is the identifiable risk factor. It typically presents as an episode of acute pancreatitis or recurrent acute pancreatitis. The clinical course and routine management of Hypertriglyceridemia-induced pancreatitis is similar to other causes. A thorough family history is important, as is the identification of secondary causes of hypertriglyceridemia. The mainstay of therapy includes dietary restriction of fatty meal and fibric acid derivatives. We hereby report the case of a 37-year-old lady with a family history of dyslipidemia presenting with recurrent episodes of acute pancreatitis. We also review the literature for pathogenesis and management of hyperlipidemia.

摘要

高甘油三酯血症是急性胰腺炎一种罕见但广为人知的病因。血清甘油三酯水平超过1000至2000mg/dl是可识别的危险因素。它通常表现为急性胰腺炎发作或复发性急性胰腺炎。高甘油三酯血症性胰腺炎的临床病程和常规管理与其他病因相似。详尽的家族史很重要,识别高甘油三酯血症的继发原因也同样重要。治疗的主要方法包括限制脂肪餐饮食和使用纤维酸衍生物。我们在此报告一例37岁有血脂异常家族史的女士反复出现急性胰腺炎发作的病例。我们还回顾了有关高脂血症发病机制和管理的文献。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0a0e/3263185/76a0c5509f93/IJEM-16-141-g002.jpg

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