Case Report

Fenofibrate: A Nonlithogenic Means of Recurrent Drug-Induced Pancreatitis

Table 1

Laboratory markers: initial admission; second admission after drug rechallenge.

Laboratory testInitial AdmissionSecond admission - 72 hours after dischargeReference range

Pancreatic enzymes
Amylase (u/l)15867120 - 90
Lipase (u/l)1840307 at discharge>30,00073-393

Basic metabolic panel
Glucose (mg/dl)1017570 - 100
Sodium (mmol/L)136138135 - 145
Potassium (mmol/L)4.23.63.7 - 5.1
Chloride (mmol/L)10410296 - 110
Carbon dioxide (mmol/L)24.02822.0 - 32.0
Calcium (mg/dl)9.08.88.5 - 10.5
Creatinine (mg/dl)1.461.360.60 - 1.30
Blood urea nitrogen mg/dl22176 - 24
Glomerular filtration rate (mL/min/1.73 m2)4549>=90
Anion Gap (mmol/L)1212<=20

Hepatic function panel
Alanine aminotransferase (u/l)284412 - 78
Aspartate aminotransferase (u/l)333710 - 40
Alkaline Phosphatase (u/l)618633 - 138
Total bilirubin (mg/dl)1.10.50.0 - 1.5
Total protein (gm/dl)7.57.46.0 - 8.4
Albumin (gm/dl)3.43.33.5 - 5.0

Immunoglobulin subclasses
IgG Subclass 1 (mg/dl)626405 - 1011
IgG Subclass 2 (mg/dl)498169 - 786
IgG Subclass 3 (mg/dl)3311 - 85
IgG Subclass 4 (mg/dl)193 - 201

Other laboratory tests
Triglycerides (mg/dl)74<149
White blood cell (k/ul)14.710.84.0-12.0
Hemoglobin (gm/dl)15.214.113.5-17.5
Platelets (k/ul)237298140-440