P. D. SCHOW, M.D.; E. ENGLERT JR., M.D.
To the editor: Most acute pancreatitis is of the edematous type and has a low mortality of about 5%. In contrast, the hemorrhagic type is uncommon, accounting for about 15% of acute pancreatitis, but with a high mortality of between 50% and 90%. Such statistics often lull the physician into the expectancy of benignity and confound results of therapeutic clinical trials. They should instead make it a high priority to distinguish the two types in a given patient. Neither clinical severity nor any laboratory test can do this infallibly. Shock, hypocalcemia, prolonged hyperenzymemia, skin changes, and thromboembolic phenomena may occur
SCHOW PD, ENGLERT E. Methemalbumin and Pancreatitis: A Warning. Ann Intern Med. ;82:281–282. doi: 10.7326/0003-4819-82-2-281
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Published: Ann Intern Med. 1975;82(2):281-282.
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