How is pancreatitis diagnosed in acute kidney injury (AKI)?

Updated: Dec 24, 2020
  • Author: Biruh T Workeneh, MD, PhD, FASN; Chief Editor: Vecihi Batuman, MD, FASN  more...
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Answer

Mild hyperamylasemia commonly is seen in AKI (2-3 times controls). Elevation of baseline amylase concentrations can complicate diagnosis of pancreatitis in patients with AKI. Measurement of lipase, which commonly is not elevated in AKI, often is necessary to make the diagnosis of pancreatitis. Pancreatitis has been reported as a concurrent illness with AKI in patients with atheroemboli, vasculitis, and sepsis from ascending cholangitis.


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