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Severe acute pancreatitis and normal serum amylase activity due to pancreatic isoamylase deficiency.

作者信息

Borgström A, Bohe M

机构信息

Departments of Surgery, University of Lund, Malmö General Hospital, Sweden.

出版信息

Dig Dis Sci. 1989 Apr;34(4):644-6. doi: 10.1007/BF01536346.

DOI:10.1007/BF01536346
PMID:2467787
Abstract

A 31-year-old man with a primary attack of severe acute alcohol-induced pancreatitis presenting with a low to normal amylase activity in serum is described. The diagnosis was confirmed surgically and, further, by studies of immunoreactive trypsin in serum, which was elevated. Analysis of pancreatic isoamylase in serum during the convalescence showed very low activity. The patient is thought to represent a case of pancreatic isoamylase deficiency.

摘要

相似文献

1
Severe acute pancreatitis and normal serum amylase activity due to pancreatic isoamylase deficiency.
Dig Dis Sci. 1989 Apr;34(4):644-6. doi: 10.1007/BF01536346.
2
Comparative study of serum pancreatic isoamylase, lipase, and trypsin-like immunoreactivity in pancreatic disease.胰腺疾病中血清胰腺同工淀粉酶、脂肪酶及胰蛋白酶样免疫反应性的比较研究
Digestion. 1983;28(2):114-21. doi: 10.1159/000198973.
3
Relation between serum pancreatic isoamylase concentration and pancreatic exocrine function.血清胰淀粉酶浓度与胰腺外分泌功能之间的关系。
Am J Dig Dis. 1978 Oct;23(10):914-8. doi: 10.1007/BF01072466.
4
Comparison of serum amylase pancreatic isoamylase and lipase in patients with hyperamylasemia.高淀粉酶血症患者血清淀粉酶、胰腺同工淀粉酶和脂肪酶的比较。
Dig Dis Sci. 1984 Apr;29(4):289-93. doi: 10.1007/BF01318510.
5
Correlation of pancreatic enzyme levels with the patient's recovery from acute edematous pancreatitis.胰腺酶水平与急性水肿性胰腺炎患者康复情况的相关性。
Klin Wochenschr. 1990 Jun 5;68(11):565-9. doi: 10.1007/BF01667149.
6
Serum amylase, isoamylase and lipase in acute alcoholism.急性酒精中毒时的血清淀粉酶、同工淀粉酶和脂肪酶
Aust N Z J Med. 1984 Dec;14(6):819-21. doi: 10.1111/j.1445-5994.1984.tb03779.x.
7
[Serum pancreatic secretory trypsin inhibitor (PSTI), amylase activity and pancreatic isoamylase activity in pancreatic diseases].
Nihon Shokakibyo Gakkai Zasshi. 1984 Apr;81(4):1044-9.
8
Clinical significance of serum pancreatic enzymes in the quiescent phase of chronic pancreatitis.慢性胰腺炎静止期血清胰腺酶的临床意义
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9
Serum isoamylase measurements in pancreatitis complicating chronic renal failure.慢性肾衰竭合并胰腺炎时血清异淀粉酶的测定
J Lab Clin Med. 1979 Jan;93(1):71-7.
10
Clinical value of serum pancreatic enzymes in acute alcohol intoxication and acute alcoholic pancreatitis.血清胰酶在急性酒精中毒和急性酒精性胰腺炎中的临床价值
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本文引用的文献

1
CLINICAL VALUE OF DETERMINATIONS OF VARIOUS PANCREATIC ENZYMES IN SERUM.血清中各种胰腺酶测定的临床价值
Gastroenterology. 1964 Jan;46:62-7.
2
Etiological and prognostic factors in human acute pancreatitis: a review.人类急性胰腺炎的病因及预后因素:综述
Am J Gastroenterol. 1982 Sep;77(9):633-8.
3
A method for determination of immunoreactive trypsin in complex with alpha 1-antitrypsin in human sera.一种测定人血清中与α1-抗胰蛋白酶结合的免疫反应性胰蛋白酶的方法。
Scand J Clin Lab Invest. 1984 Sep;44(5):381-6. doi: 10.3109/00365518409083825.
4
Correlation between serum concentrations of three specific exocrine pancreatic proteins and pancreatic duct morphology at ERCP examinations.ERCP检查时三种特定胰腺外分泌蛋白血清浓度与胰管形态之间的相关性
Scand J Gastroenterol. 1984 Mar;19(2):220-7.
5
Clinical significance of elevated serum and urine amylase levels in patients with appendicitis.阑尾炎患者血清和尿淀粉酶水平升高的临床意义
Am J Surg. 1981 Dec;142(6):667-70. doi: 10.1016/0002-9610(81)90308-1.
6
Acute pancreatitis with normal amylase.淀粉酶正常的急性胰腺炎
Dig Dis Sci. 1986 Jul;31(7):779-80. doi: 10.1007/BF01296459.
7
Amylase and gut infarction.淀粉酶与肠道梗死
Br J Surg. 1986 Mar;73(3):219-21. doi: 10.1002/bjs.1800730322.
8
Sources of the serum isoamylases and their normal range of variation with age.血清淀粉酶同工酶的来源及其随年龄变化的正常范围。
Scand J Gastroenterol. 1975;10(6):577-84.
9
Radioimmunological determination and characterization of cathodal trypsin-like immunoreactivity in normal human plasma.正常人血浆中阴极胰蛋白酶样免疫反应性的放射免疫测定及特性分析
Scand J Clin Lab Invest. 1976 Dec;36(8):809-14. doi: 10.3109/00365517609081942.
10
Amylase--its clinical significance: a review of the literature.淀粉酶——其临床意义:文献综述
Medicine (Baltimore). 1976 Jul;55(4):269-89. doi: 10.1097/00005792-197607000-00001.