engleski

DIAGNOSING MACROAMYLASEMIA IN UNEXPLAINED HYPERAMYLASEMIA

Macroamylasemia is a curious condition marked by hyperamylasemia without any other signs or symptoms, most frequently caused by immunoglobulin-amylase complexes that cannot be secreted normally by the kidneys. It usually requires no additional investigation, but must be taken into consideration to avoid unnecessary diagnostics and treatment, which burden both the patient and the healthcare system. A number of studies and reports have described macroamylasemia in combination with other conditions or diseases, one of the more interesting being celiac disease, where a gluten free diet was shown to cure both. Our case presents a young female patient without signifi cant signs or symptoms except for elevated serum amylase discovered by chance, and ignored. Macroamylasemia was considered and confi rmed, while celiac disease was subsequently excluded.

hyperamylasemia, laboratory diagnosis, macroamylasemia

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