Case Report
Fenofibrate: A Nonlithogenic Means of Recurrent Drug-Induced Pancreatitis
Table 1
Laboratory markers: initial admission; second admission after drug rechallenge.
| Laboratory test | Initial Admission | Second admission - 72 hours after discharge | Reference range |
| Pancreatic enzymes | Amylase (u/l) | 158 | 671 | 20 - 90 | Lipase (u/l) | 1840 | 307 at discharge | >30,000 | 73-393 |
| Basic metabolic panel | Glucose (mg/dl) | 101 | 75 | 70 - 100 | Sodium (mmol/L) | 136 | 138 | 135 - 145 | Potassium (mmol/L) | 4.2 | 3.6 | 3.7 - 5.1 | Chloride (mmol/L) | 104 | 102 | 96 - 110 | Carbon dioxide (mmol/L) | 24.0 | 28 | 22.0 - 32.0 | Calcium (mg/dl) | 9.0 | 8.8 | 8.5 - 10.5 | Creatinine (mg/dl) | 1.46 | 1.36 | 0.60 - 1.30 | Blood urea nitrogen mg/dl | 22 | 17 | 6 - 24 | Glomerular filtration rate (mL/min/1.73 m2) | 45 | 49 | >=90 | Anion Gap (mmol/L) | 12 | 12 | <=20 |
| Hepatic function panel | Alanine aminotransferase (u/l) | 28 | 44 | 12 - 78 | Aspartate aminotransferase (u/l) | 33 | 37 | 10 - 40 | Alkaline Phosphatase (u/l) | 61 | 86 | 33 - 138 | Total bilirubin (mg/dl) | 1.1 | 0.5 | 0.0 - 1.5 | Total protein (gm/dl) | 7.5 | 7.4 | 6.0 - 8.4 | Albumin (gm/dl) | 3.4 | 3.3 | 3.5 - 5.0 |
| Immunoglobulin subclasses | IgG Subclass 1 (mg/dl) | 626 | | 405 - 1011 | IgG Subclass 2 (mg/dl) | 498 | | 169 - 786 | IgG Subclass 3 (mg/dl) | 33 | | 11 - 85 | IgG Subclass 4 (mg/dl) | 19 | | 3 - 201 |
| Other laboratory tests | Triglycerides (mg/dl) | 74 | | <149 | White blood cell (k/ul) | 14.7 | 10.8 | 4.0-12.0 | Hemoglobin (gm/dl) | 15.2 | 14.1 | 13.5-17.5 | Platelets (k/ul) | 237 | 298 | 140-440 |
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