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
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SCHOW PD, ENGLERT E. Methemalbumin and Pancreatitis: A Warning. Ann Intern Med. 1975;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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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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