[Macroamylasemia in the differential diagnosis of acute pancreatitis].
The presence of macroamylasemia should be considered in the differential diagnosis of hyperamylasemia associated with acute abdominal pain, with suspect of pancreatitis. This uncommon and poorly known abnormality is defined as a blinding of serum amylase to certain proteins forming a circulating macrocomplex which prevents renal clearance of serum amylase. Two clinical cases as well as a review of this rare entity are here reported.
Domènech Calvet
J
J
Servicio de Cirugía, Hospital Universitario de Sant Joan, Reus.
Sánchez Cano
J J
JJ
Sánchez Marín
A
A
Sánchez Pérez
J
J
Guspí Saiz
F
F
Bertran Llusà
N
N
del Castillo Déjardin
D
D
D000208:Acute Disease; D000293:Adolescent; D000681:Amylases / Q000097:blood*; D004796:Clinical Enzyme Tests; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010195:Pancreatitis / Q000175:diagnosis*
D000681:Amylases