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Relapsing Pancreatitis with Recurrent Pericardial and Pleural Effusions: A Case Report and Review of the Literature

Ann Intern Med. 1964;60(6):1047-1053. doi:10.7326/0003-4819-60-6-1047
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Apatient With alcoholism and recurrent pancreatitis developed recurrent pericardial effusions with elevated pericardial fluid amylase titers, cardiac tamponade, recurrent hemorrhagic right and left pleural effusions with elevated pleural fluid amylase and lipase titers, constricting pleuritis, chest wall effusions, and eosinophilia. The evidence suggests that all these findings were secondary to his pancreatitis, and that no other disease process was present. No case has been previously reported of pericardial effusion with elevated pericardial fluid amylase titers nor of recurrent pleural effusions with elevated pleural fluid amylase titers due to pancreatitis.

CASE HISTORY: L. D., a 28-year-old Negro male house painter, was


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