SIEGFRIED MERYN, M.D.; ALEXANDER KISS, M.D.; ALFRED GANGL, M.D.
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To the editor: We read with interest the recent article by Steinberg and colleagues (1) and the editorial by Spechler (2) concerning the value of diagnostic assays in acute pancreatitis. We wish to raise several points in this regard.
First, the study included 2 patients with hyperlipidemic pancreatitis as well as 127 control patients with abdominal pain, but the authors did not specify how many of the investigated samples showed lipemia. That serum amylase values in patients with lipemia and clinical signs of acute pancreatitis can be within normal limits is a recently appreciated phenomenon, first recognized in 1971 (3).
MERYN S, KISS A, GANGL A. Diagnostic Assays in Acute Pancreatitis. Ann Intern Med. ;104:135. doi: 10.7326/0003-4819-104-1-135_1
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Published: Ann Intern Med. 1986;104(1):135.
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