Robin George Manappallil
National Hospital, India
Title: Diabetic ketoacidosis and acute pancreatitis: The masquerading conditions in a patient with chronic kidney disease
Biography
Biography: Robin George Manappallil
Abstract
Diabetic patients are at the risk of developing acute pancreatitis, due to hypertriglyceridemia. Diabetic ketoacidosis in an acute life threatening complication of type-1 diabetes; an elevated serum amylase levels may be suggestive of acute pancreatitis, but these levels may also be elevated in diabetic ketoacidosis. In such cases, serum lipase levels aid in the diagnosis of acute pancreatitis. However, in patients with chronic kidney disease, the levels of amylase and lipase will be elevated, as the pancreatic enzymes are excreted by the kidneys. This is a case report of a young lady with type-1 diabetes and chronic kidney disease (stage 4), not on hemodialysis, who presented with diabetic ketoacidosis and had elevated levels of amylase and lipase, in the absence of pancreatitis.