title: 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.affiliation: Department of Internal Medicine, Konkuk University, Seoul, Korea.
authors.forename: Byung Kook
authors.initials: BK
authors.lastname: Kim
authors.forename: Mi Jin
authors.initials: MJ
authors.lastname: Kim
authors.forename: Won Chul
authors.initials: WC
authors.lastname: Chang
authors.forename: Kwang Ha
authors.initials: KH
authors.lastname: Yoo
authors.forename: Young Goo
authors.initials: YG
authors.lastname: Shin
authors.forename: Choon Hee
authors.initials: CH
authors.lastname: Chung
mesh_terms: D000328:Adult; D006801:Humans; D006938:Hyperlipoproteinemia Type II / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology; D007723:Korea / Q000453:epidemiology; D008297:Male; D010195:Pancreatitis / Q000000981:diagnostic imaging / Q000209:etiology*; D012008:Recurrence; D014057:Tomography, X-Ray Computed