Citation Information :
Kumar P, Ghosh A, Sinha N, Tonk R. Secondary hypertriglyceridemia causing recurrent acute pancreatitis with normal pancreatic enzymes. Indian J Crit Care Med 2018; 22 (5):381-383.
Hypertriglyceridemia (HTG) is the third leading cause of acute pancreatitis (APs) worldwide which is invariably associated with elevated pancreatic enzyme levels. We present a case of HTG-induced recurrent AP with normal serum amylase and lipase levels in a patient of Syndrome Z.
Twomey PJ, Don-Wauchope AC, McCullough D. Unreliability of triglyceride measurement to predict turbidity induced interference. J Clin Pathol 2003;56:861-2.
Cartier T, Sogni P, Perruche F, Meyniard O, Claessens YE, Dhainaut JF, et al. Normal lipase serum level in acute pancreatitis: A case report. Emerg Med J 2006;23:701-2.
Shah AM, Eddi R, Kothari ST, Maksoud C, DiGiacomo WS, Baddoura W, et al. Acute pancreatitis with normal serum lipase: A case series. JOP 2010;11:369-72.
Deschasse G, Tolsma V, Bioteau C, Couturier P, Gavazzi G. Acute pancreatitis with normal lipase in an 80-year-old man. J Am Geriatr Soc 2011;59:1542-3.
Mayersak JS, Viviano CJ, Babiarz JW. Computed axial tomography pancreatitis: An atypical asymptomatic postoperative disease without serum or urinary enzyme evaluation. Wis Med J 1997;96:25-8.
Khan FY, Matar I. Chylous ascites secondary to hyperlipidemic pancreatitis with normal serum amylase and lipase. World J Gastroenterol 2007;13:480-2.
Kedia S, Dhingra R, Garg PK. Recurrent acute pancreatitis: An approach to diagnosis and management. Trop Gastroenterol 2013;34:123-35.
Mikhail N, Trivedi K, Page C, Wali S, Cope D. Treatment of severe hypertriglyceridemia in nondiabetic patients with insulin. Am J Emerg Med 2005;23:415-7.
Wilcox I, McNamara SG, Collins FL, Grunstein RR, Sullivan CE. “Syndrome Z”: The interaction of sleep apnoea, vascular risk factors and heart disease. Thorax 1998;53 Suppl 3:S25-8.