Schmeck H J, Viets C H
Dtsch Med Wochenschr. 1984 Oct 19;109(42):1604-6. doi: 10.1055/s-2008-1069421.
Pancreatitis had been erroneously diagnosed in a 50-year-old female patient with primary sicca syndrome with chronic salivary-gland-caused increase of amylase of 5 years' standing. Differentiation of amylase into isoenzymes showed clearly increased salivary amylase with normal pancreatic amylase. Little is known on the increase of amylase in Sjögren's syndrome. Unresolved increase of amylase of non-pancreatic origin should thus also lead to consideration of sicca syndrome.
一名50岁患有原发性干燥综合征的女性患者,因慢性唾液腺问题导致淀粉酶升高达5年之久,曾被误诊为胰腺炎。淀粉酶同工酶分析显示唾液淀粉酶明显升高,而胰腺淀粉酶正常。关于干燥综合征中淀粉酶升高的情况鲜为人知。因此,非胰腺来源的淀粉酶持续升高也应考虑干燥综合征的可能。