RESUMO
CONTEXT: The elevation of serum amylase and lipase are generally associated with pancreatic diseases. However they can be associated with different pathologies unrelated with amylase and lipase. CASE REPORT: This paper aims to report a case of a patient diagnosed with nonspecific hyperamylasemia and warn of this possibility in the differentiation of hyperamylasemia. CONCLUSION: The correct diagnosis of silent hyperamylasemia is important in order to determine whether there is the risk of pancreatic disease or if we are just ahead of a benign hyperenzymemia.
Assuntos
Amilases/sangue , Hiperamilassemia/sangue , Adulto , Diagnóstico Diferencial , Feminino , Humanos , Hiperamilassemia/diagnóstico , Hiperamilassemia/enzimologia , Pâncreas/diagnóstico por imagem , Pâncreas/enzimologia , Pancreatopatias/sangue , Pancreatopatias/diagnóstico , Pancreatopatias/enzimologia , Radiografia , UltrassonografiaRESUMO
The incidence of pancreatic enzyme elevations in children with diabetic ketoacidosis (DKA) compared with children with newly diagnosed diabetes without DKA was assessed in a prospective study. Pancreatic enzyme elevations, particularly hyperlipasemia, are common but not associated with significant symptomatology. Acute pancreatitis was diagnosed in 2% of children with DKA.