title: Macroamylasemia as the first manifestation of celiac disease.
abstract: Macroamylasemia is a biochemical disorder characterized by an elevated serum amylase activity resulting from the circulation of a macromolecular complex of amylase with a serum component, often an immunoglobulin. The increased molecular weight of this complex prevents the normal renal excretion of the enzyme. A few cases of celiac patients with macroamylasemia have been published in whom the biochemical disorder disappeared after treatment with a gluten-free diet.
authors.affiliation: Department of Gastroenterology, Hillel-Yaffe Medical Center, Hadera, Israel, affiliated to the Bruce Rappaport Faculty of Medicine, The Technion, Haifa, Israel.
authors.forename: Roman
authors.initials: R
authors.lastname: Depsames
authors.forename: Zvi
authors.initials: Z
authors.lastname: Fireman
authors.forename: Eva
authors.initials: E
authors.lastname: Niv
authors.forename: Yael
authors.initials: Y
authors.lastname: Kopelman