Recurrent acute pancreatitis in a patient with type IIb hyperlipoproteinemia: a case report and review of the literature in 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.

• Authors: Byung Kook Kim, Mi Jin Kim, Won Chul Chang, Kwang Ha Yoo, Young Goo Shin, Choon Hee Chung
• Journal: Yonsei medical journal (Yonsei Med J) Vol. 47 Issue 1 Pg. 144-7 (Feb 28 2006) ISSN: 0513-5796 [Print] Korea (South)
• PMID: 16502498 (Publication Type: Case Reports, Journal Article, Review)

Topics

• Adult
• Humans
• Hyperlipoproteinemia Type II (complications, diagnosis, epidemiology)
• Korea (epidemiology)
• Male
• Pancreatitis (diagnostic imaging, etiology)
• Recurrence
• Tomography, X-Ray Computed