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  Vol. 135 No. 6, June 1975 TABLE OF CONTENTS
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Hereditary Pancreatitis

Nonspecificity of Aminoaciduria and Diagnosis of Occult Disease

Vincent M. Riccardi, MD; Vivian E. Shih, MD; Lewis B. Holmes, MD; George L. Nardi, MD

Arch Intern Med. 1975;135(6):822-825.


Abstract

Hereditary pancreatitis appears in many different ways and in a variety of age groups, spanning both pediatric and adult medicine. The variable expression of hereditary pancreatitis is emphasized by the difficulty in diagnosing it in a patient obviously at risk because of a severely affected father and son. The morphine prostigmine test and hypotonic duodenogram were most helpful. Aminoaciduria previously associated with this disorder is coincidental or nonspecifically related to acute pancreatic inflammation. The increased risk for pancreatic carcinoma (about 20%) is emphasized by the concern for that complication in the proband's grandfather.



Author Affiliations

From the Genetics Unit, Childrens Service, the Neurology and Surgery Services, Massachusetts General Hospital, and the departments of pediatrics, neurology, and surgery, Harvard Medical School, Boston. Dr. Riccardi is now at the University of Colorado Medical Center, Denver.


Footnotes

Received for publication June 12, 1974; accepted Oct 3.

Reprint requests to 4200 E Ninth Ave, Denver, CO 80220 (Dr. Riccardi).



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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Familial Chronic Recurrent Pancreatitis in Identical Twins: Case Report and Review of the Literature
Freud et al.
Arch Surg 1992;127:1125-1128.
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Idiopathic Hereditary Pancreatitis: Experience With Surgical Treatment
Williams et al.
Arch Surg 1982;117:408-412.
ABSTRACT  





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