Acute Pancreatitis with Rapid Clinical Improvement in a Child with Isovaleric Acidemia
Isovaleric acidemia is a rare branched-chain organic acidemia. The authors describe a 3.5-year-old girl with isovaleric acidemia and acute abdominal pain associated with bilious emesis. Elevated serum amylase and abdominal ultrasonography demonstrating an enlarged and edematous pancreas, along with...
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| Format: | Article |
| Language: | English |
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Wiley
2013-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2013/721871 |
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| author | Elpis Mantadakis Ioannis Chrysafis Emmanouela Tsouvala Athanassios Evangeliou Athanassios Chatzimichael |
| author_facet | Elpis Mantadakis Ioannis Chrysafis Emmanouela Tsouvala Athanassios Evangeliou Athanassios Chatzimichael |
| author_sort | Elpis Mantadakis |
| collection | DOAJ |
| description | Isovaleric acidemia is a rare branched-chain organic acidemia. The authors describe a 3.5-year-old girl with isovaleric acidemia and acute abdominal pain associated with bilious emesis. Elevated serum amylase and abdominal ultrasonography demonstrating an enlarged and edematous pancreas, along with the presence of peripancreatic exudates, confirmed the presence of acute pancreatitis. The patient recovered quickly with intravenous hydration, pancreatic rest, and administration of intravenous L-carnitine. Pancreatitis should be ruled out in the context of vomiting in any patient with isovaleric acidemia. Conversely, branched-chain organic acidemias should be included in the differential diagnosis of any child with pancreatitis of unknown origin. |
| format | Article |
| id | doaj-art-1344c6eab9924ccdab92aedfe6cafa5c |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2013-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-1344c6eab9924ccdab92aedfe6cafa5c2025-08-20T03:54:33ZengWileyCase Reports in Pediatrics2090-68032090-68112013-01-01201310.1155/2013/721871721871Acute Pancreatitis with Rapid Clinical Improvement in a Child with Isovaleric AcidemiaElpis Mantadakis0Ioannis Chrysafis1Emmanouela Tsouvala2Athanassios Evangeliou3Athanassios Chatzimichael4Department of Pediatrics, Democritus University of Thrace Faculty of Medicine, University General Hospital of Alexandroupolis, 68100 Alexandroupolis, GreeceDepartment of Radiology and Medical Imaging, University General Hospital of Alexandroupolis, 68100 Alexandroupolis, GreeceDepartment of Pediatrics, Democritus University of Thrace Faculty of Medicine, University General Hospital of Alexandroupolis, 68100 Alexandroupolis, Greece4th Department of Pediatric, Aristotle University of Thessaloniki School of Medicine, General Hospital Papageorgiou, 56429 Thessaloniki, GreeceDepartment of Pediatrics, Democritus University of Thrace Faculty of Medicine, University General Hospital of Alexandroupolis, 68100 Alexandroupolis, GreeceIsovaleric acidemia is a rare branched-chain organic acidemia. The authors describe a 3.5-year-old girl with isovaleric acidemia and acute abdominal pain associated with bilious emesis. Elevated serum amylase and abdominal ultrasonography demonstrating an enlarged and edematous pancreas, along with the presence of peripancreatic exudates, confirmed the presence of acute pancreatitis. The patient recovered quickly with intravenous hydration, pancreatic rest, and administration of intravenous L-carnitine. Pancreatitis should be ruled out in the context of vomiting in any patient with isovaleric acidemia. Conversely, branched-chain organic acidemias should be included in the differential diagnosis of any child with pancreatitis of unknown origin.http://dx.doi.org/10.1155/2013/721871 |
| spellingShingle | Elpis Mantadakis Ioannis Chrysafis Emmanouela Tsouvala Athanassios Evangeliou Athanassios Chatzimichael Acute Pancreatitis with Rapid Clinical Improvement in a Child with Isovaleric Acidemia Case Reports in Pediatrics |
| title | Acute Pancreatitis with Rapid Clinical Improvement in a Child with Isovaleric Acidemia |
| title_full | Acute Pancreatitis with Rapid Clinical Improvement in a Child with Isovaleric Acidemia |
| title_fullStr | Acute Pancreatitis with Rapid Clinical Improvement in a Child with Isovaleric Acidemia |
| title_full_unstemmed | Acute Pancreatitis with Rapid Clinical Improvement in a Child with Isovaleric Acidemia |
| title_short | Acute Pancreatitis with Rapid Clinical Improvement in a Child with Isovaleric Acidemia |
| title_sort | acute pancreatitis with rapid clinical improvement in a child with isovaleric acidemia |
| url | http://dx.doi.org/10.1155/2013/721871 |
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