Greenberg R E, Bank S, Singer C
Department of Medicine, Long Island Jewish Medical Center, New Hyde Park, NY 11042.
Postgrad Med J. 1987 Aug;63(742):677-9. doi: 10.1136/pgmj.63.742.677.
A patient with macroamylasaemia in association with the acquired immunodeficiency syndrome is described. Patients with the acquired immunodeficiency syndrome commonly have gastrointestinal symptoms that often prompt serum amylase determination. Macroamylasaemia has been found to occur in a variety of diseases including various autoimmune disorders. The marked immunological abnormalities and increased circulating immunoglobulins associated with the acquired immunodeficiency syndrome may have predisposed this patient to macroamylase formation. Macroamylasaemia is a benign condition that requires no treatment and must be excluded in the patient with unexplained hyperamylasaemia to avoid unnecessary diagnostic tests and treatment.
本文描述了一名患有巨淀粉酶血症并伴有获得性免疫缺陷综合征的患者。获得性免疫缺陷综合征患者通常有胃肠道症状，这常常促使进行血清淀粉酶测定。已发现巨淀粉酶血症可发生于多种疾病，包括各种自身免疫性疾病。与获得性免疫缺陷综合征相关的显著免疫异常和循环免疫球蛋白增加可能使该患者易发生巨淀粉酶形成。巨淀粉酶血症是一种良性疾病，无需治疗，对于不明原因高淀粉酶血症的患者必须排除此病，以避免不必要的诊断检查和治疗。
