Macroamylasemia in a 4-year-old girl with abdominal pain / 소아과
Korean Journal of Pediatrics
;
: 1283-1285, 2009.
Article
Dans Anglais
| WPRIM
| ID: wpr-143512
ABSTRACT
Macroamylasemia is a benign condition characterized by abnormally large-sized serum amylase; it has been reported to occur in 1-2% of the population. In macroamylasemia, a macromolecular complex consisting of amylase linked to immunoglobulins circulates in the plasma and usually causes hyperamylasemia with low or normal amylasuria. Macroamylasemia is extremely rare in children. We report a case of a 4-year-old girl with abdominal pain and macroamylasemia, who was initially misdiagnosed as having acute pancreatitis. Failure to immediately identify macroamylase as the cause of the unexplained but benign hyperamylasemia can lead to the misdiagnosis of the condition, necessitating costly analyses for ruling out pancreatic disease and unnecessary prescriptions such as fasting and intravenous replacement therapies, as was observed in our patient.
Texte intégral:
Disponible
Indice:
WPRIM (Pacifique occidental)
Sujet Principal:
Maladies du pancréas
/
Pancréatite
/
Plasma sanguin
/
Immunoglobulines
/
Douleur abdominale
/
Enfant d'âge préscolaire
/
Jeûne
/
Hyperamylasémie
/
Erreurs de diagnostic
/
Ordonnances
Type d'étude:
Etude diagnostique
Limites du sujet:
Enfant
/
Humains
langue:
Anglais
Texte intégral:
Korean Journal of Pediatrics
Année:
2009
Type:
Article
Documents relatifs à ce sujet
MEDLINE
...
LILACS
LIS