1.
Turk J Gastroenterol
; 28(6): 514-517, 2017 Nov.
Article
in English
| MEDLINE
| ID: mdl-29086719
ABSTRACT
We describe 2 patients with diabetes mellitus, presenting with upper abdominal pain. Although imaging findings were consistent with acute pancreatitis (AP), serum amylase and lipase levels were within normal limits. In both the cases, the only identifiable diagnostic culprit was vildagliptin. This is the first reported case of vildagliptin causing AP clinically and radiographically without elevated serum pancreatic enzymes. In conclusion, even when serum amylase and lipase levels are normal, AP should be kept in mind when making a differential diagnosis of patients with diabetes mellitus who present with abdominal pain and take dipeptidyl peptidase-4 (DPP-4) inhibitors.
Subject(s)
Abdominal Pain/diagnosis , Adamantane/analogs & derivatives , Diabetes Mellitus, Type 2/drug therapy , Dipeptidyl-Peptidase IV Inhibitors/adverse effects , Nitriles/adverse effects , Pancreatitis/diagnosis , Pyrrolidines/adverse effects , Abdominal Pain/blood , Abdominal Pain/chemically induced , Acute Disease , Adamantane/adverse effects , Aged , Amylases/blood , Diabetes Mellitus, Type 2/blood , Diagnosis, Differential , Female , Humans , Lipase/blood , Male , Middle Aged , Pancreatitis/blood , Pancreatitis/chemically induced , Vildagliptin
2.