title: Hypertriglyceridaemia-induced pancreatitis.
abstract: Hypertriglyceridaemia is the third most common cause of acute pancreatitis but is relatively rare and therefore requires a high level of clinical suspicion to be diagnosed. We discuss the case of a 46-year-old man who initially presented to the accident and emergency department with suspected first presentation of diabetic ketoacidosis (DKA) and a normal amylase but who did not respond to DKA treatment. Further history revealed significant cardiovascular risk factors, examination showed an evidence of hyperlipidaemia and investigations revealed acute pancreatitis secondary to hypertriglyceridaemia. We discuss the causes of hypertriglyceridaemia, the difficulty in differentiating primary versus secondary hypertriglyceridaemia, possible pathogenesis and current evidence-based treatments.
authors: The Heart of England NHS Trust, Birmingham, UK. n.weston@nhs.net
authors: Natasha
authors: N
authors: Weston
authors: Upul
authors: U
authors: Fernando
authors: Varadarajan
authors: V
authors: Baskar
mesh_terms: D003937:Diagnosis, Differential; D005440:Fluid Therapy; D006801:Humans; D015228:Hypertriglyceridemia / Q000150:complications* / Q000175:diagnosis / Q000628:therapy; D008297:Male; D008875:Middle Aged; D059408:Pain Management; D010195:Pancreatitis / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D012307:Risk Factors