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Sodium Taurocholate Induced Severe Acute Pancreatitis in C57BL/6 Mice
Published on: June 28, 2021
[Acute pancreatitis and thrombotic microangiopathy: a two-way association]
Guillaume Moulis1, Antoine Huart, Maïa Forgues
1Service de néphrologie et immunologie clinique, centre de référence des maladies rénales rares (SORARE), CHU de Toulouse, université de Toulouse III, hôpital Rangueil, avenue Jean-Poulhès, 31059 Toulouse cedex 9, France. gmoulis@hotmail.com
Abstract:
Acute pancreatitis and thrombotic microangiopathy is an established association: but which is the cause, which is the consequence? Thanks to two case reports and a literature review, we put to light an unequivocal link. Indeed, thrombotic microangiopathy may be responsible for ischemic pancreatitis. On the other hand, acute pancreatitis, whatever its cause, may trigger thrombotic microangiopathy. In either case, an anti-ADAMTS-13 antibody can be detected: its research is mandatory.
Insights
Thrombotic microangiopathy can cause ischemic pancreatitis, and pancreatitis can trigger thrombotic microangiopathy. Detecting anti-ADAMTS-13 antibodies is crucial for diagnosing this complex relationship.
Area of Science:
- Hematology
- Gastroenterology
- Pathophysiology
Background:
- The association between acute pancreatitis and thrombotic microangiopathy is recognized.
- The causal relationship between these two conditions remains unclear.
Observation:
- Two case reports and a literature review were analyzed.
- The study investigated the etiological relationship between these two conditions.
Findings:
- Thrombotic microangiopathy can lead to ischemic pancreatitis.
- Acute pancreatitis, irrespective of its origin, can precipitate thrombotic microangiopathy.
- Anti-ADAMTS-13 antibodies are detectable in both scenarios.
Implications:
- Early detection of anti-ADAMTS-13 antibodies is critical for diagnosis.
- This finding mandates specific diagnostic approaches in patients presenting with either condition.
- Further research into the underlying mechanisms is warranted.
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