A 19 year old female with a pmh of acne presents with the Emergency Department for the second time in 3 months with a complaint of epigastric pain. She states that the last episode resolved after 3 without speaking to her doctor. Her pain is accompanied with nausea and vomiting. She states that before these episodes of pain started, she started a new medication. You diagnose her with pancreatitis. What lab abnormality would you expect to find in addition to an elevated lipase?
Answer : B. The patient recently started isoretonin for her acne. 45% of patient starting this medication suffer from elevated triglycerides up to 1000 mg/dl, putting them at increased risk for pancreatitis. You could also expect increased in her LDL and cholesterol. Stopping the medication should resolve the recurrences
|Marked hyperlipidemia and pancreatitis associated with isotretinoin therapy.|
The American journal of gastroenterology / 87(12):1855-8.