Rheologic reflection in hypertriglyceridemia-induced pancreatitis.
Triglyceride levels greater than 1,000 mg/dL may cause severe pancreatitis, and there is mounting evidence for the use of plasmapheresis to remove triglycerides for the treatment of triglyceride-induced pancreatitis. The failure of continuous venovenous hemodialysis (CVVHD) due to severe lipemia, necessitating plasmapheresis in the early phase of severe acute hypertriglyceridemia-induced pancreatitis, is reported. We suggest that in the setting of hypertriglyceridemia-induced pancreatitis with urgent indication for dialysis, plasmapheresis be initiated prior to CVVHD to prevent rheologic failure.
Martin
Donald
D
Department of Internal Medicine, Wright State University, Good Samaritan Hospital, Dayton, OH, USA. Donald.martin@lakenheath.af.mil
McCann
Edward
E
Glynn
Patrick
P
D000138:Acidosis / Q000209:etiology / Q000628:therapy; D058186:Acute Kidney Injury / Q000209:etiology / Q000628:therapy; D000328:Adult; D006801:Humans; D006947:Hyperkalemia / Q000209:etiology / Q000628:therapy; D015228:Hypertriglyceridemia / Q000150:complications* / Q000628:therapy; D008297:Male; D010195:Pancreatitis / Q000209:etiology* / Q000628:therapy; D010956:Plasmapheresis; D006435:Renal Dialysis / Q000379:methods