Abstract
Drug Induced Pancreatitis is a very common cause of acute pancreatitis in older patients and is often treated by just symptomatic treatment. An old hypertensive lady was admitted repeatedly to emergency department and treated as Idiopathic Pancreatitis. Initial labs showed elevated pancreatic enzymes. Detailed history showed that increase in thiazides dosage was the cause of her pancreatitis. It was later diagnosed as a case of thiazide induced pancreatitis. It is important to consider medication as a cause of acute pancreatitis in especially in older people presenting with acute pancreatitis without common risk factors.
Highlights
Pancreatitis is inflammation of the pancreas, an organ that produces several enzymes to aid in the digestion of food, as well as the hormone insulin, which controls the level of sugar in the blood
We describe a case of thiazide induced pancreatitis which was treated as Idiopathic pancreatitis [1]-[4]
Acute pancreatitis is well known to occur at a greater frequency in hypertensive patients with high dosage of thiazides therapy
Summary
Pancreatitis is inflammation of the pancreas, an organ that produces several enzymes to aid in the digestion of food, as well as the hormone insulin, which controls the level of sugar (glucose) in the blood. The pancreas is located in the upper abdomen, behind the stomach. It is affected broadly by many risk factors and medications are very common causes of pancreatitis. Pancreatitis is often-ignored because of the difficulty in implicating a drug as its cause. (2014) Primary Isolated Case of Drug Induced Pancreatitis Misdiagnosed as Idiopathic Pancreatitis. Case Reports in Clinical Medicine, 3, 416-419. We describe a case of thiazide induced pancreatitis which was treated as Idiopathic pancreatitis [1]-[4]. Thiazide drugs are increasingly being used in clinical practice, data on incidence of acute pancreatitis with this class of drug are lacking. We evaluated the extent of this adverse effect in patients on thiazide on our follow-up
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