Recurrent acute pancreatitis in a patient with type IIb hyperlipoproteinemia: a case report and review of the literature in Korea.
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.
Kim
Byung Kook
BK
Department of Internal Medicine, Konkuk University, Seoul, Korea.
Kim
Mi Jin
MJ
Chang
Won Chul
WC
Yoo
Kwang Ha
KH
Shin
Young Goo
YG
Chung
Choon Hee
CH
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