Tuesday, October 19, 2010

Acute Pancreatitis: Pancreatitis: Merck Manual Professional

Etiology
Biliary tract disease and alcoholism account for ≥ 80% of acute pancreatitis cases. The remaining 20% result from myriad causes (see Table 1: Pancreatitis: Some Causes of Acute Pancreatitis).

Table 1

Some Causes of Acute Pancreatitis

Cause

Example

Drugs

ACE inhibitors, asparaginase azathioprine , 2´, 3´-dideoxyinosine, furosemide , 6- mercaptopurine pentamidine, sulfa drugs, valproate 

Infectious

Coxsackie B virus, cytomegalovirus, mumps

Inherited

Multiple known gene mutations, including a small percentage of cystic fibrosis patients

Mechanical/structural

Gallstones, ERCP, trauma, pancreatic or periampullary cancer, choledochal cyst, sphincter of Oddi stenosis, pancreas divisum

Metabolic

Hypertriglyceridemia, hypercalcemia (including hyperparathyroidism), estrogen use associated with high lipid levels

Toxins

Alcohol, methanol

Other

Pregnancy, postrenal transplant, ischemia from hypotension or atheroembolism, tropical pancreatitis

Pregnancy, postrenal transplant, ischemia from hypotension or atheroembolism, tropical pancreatitis
http://www.merck.com/mmpe/sec02/ch015/ch015b.html

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