Yonsei Med J.  2006 Feb;47(1):144-147. 10.3349/ymj.2006.47.1.144.

Recurrent Acute Pancreatitis in a Patient with Type IIb hyperlipoproteinemia: A Case Report and Review of the Literature in Korea

Affiliations
  • 1Department of Internal Medicine, College of Medicine, Konkuk University, Seoul, Korea.
  • 2Department of Internal Medicine, Hong-ik Hospital, Seoul, Korea. mijin71@naver.com
  • 3Department of Internal Medicine, Wonju College of Medicine, Yonsei University, Wonju, Korea.

Abstract

Hyperlipidemia is a rare cause of pancreatitis. It has been believed that free fatty acids released from hydrolyzed serum chylomicrons or triglycerides and chylomicrons induce hyperlipidemic pancreatitis by damaging acinar cells and capillaries. Type I, IV or V hyperlipidemic (Fredrickson's classification) pancreatitides have distinctive features of increased and heightened serum chylomicron and triglyceride levels. In contrast, type IIb hyperlipidemia usually doesn't have increased chylomicrons. It is a dominant inherited genetic disorder and doesn't manifest the subjective symptom before combining vascular complications such as coronary artery disease. Only a few cases of type IIb hyperlipidemic pancreatitis have been reported. We experienced a male patient with recurrent hyperlipidemic pancreatitis combined with type IIb hyperlipidemia. We present the case report and a review of the literature of hyperlipidemic pancreatitis, especially cases in Korea.

Keyword

Hyperlipoproteinemia; pancreatitis; diabetes mellitus

MeSH Terms

Tomography, X-Ray Computed
Recurrence
Pancreatitis/*etiology/radiography
Male
Korea/epidemiology
Hyperlipoproteinemia Type II/*complications/diagnosis/epidemiology
Humans
Adult

Figure

  • Fig. 1 Abdominal CT scan shows diffusely enlargement, peripancreatic fat infiltration (arrow) and pelvic ascites, which were compatible with the diagnosis of acute pancreatitis grade C.


Cited by  1 articles

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Ewha Med J. 2011;34(2):55-59.    doi: 10.12771/emj.2011.34.2.55.


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