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Necrotizing pancreatitis due to hypercalcemia in a hemodialysis patient with pica
Zachary Z Brener1, Michael Bergman2
1Department of Medicine , Mount Sinai Beth Israel Medical Center , Brooklyn, NY , USA.
Abstract:
Pica refers to the persistent, compulsive craving for and ingestion of nonfood items and certain food items. Pica is quite common among dialysis patients. The nutrient composition of some of the substances ingested may contribute to severe metabolic and mineral disturbances and other serious medical complications. We report the first case of a hemodialysis patient with chalk pica associated hypercalcemia who developed acute necrotizing pancreatitis. Hydration, nutritional support and hemodialysis treatments with low-calcium bath led to clinical improvement and correction of his calcium. This case illustrates the dangers of pica in dialysis patients and describes modalities of treatment and detection of this high risk behavior.
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Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
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Acute Pancreatitis I: Introduction
Acute pancreatitis is characterized by rapid inflammation of the pancreas, often caused by factors like gallstone blockage or excessive alcohol consumption. Chronic pancreatitis, on the other hand, is a slow, progressive inflammation that may result from long-term alcohol abuse, obstructions in the pancreatic duct, or genetic factors.
The causes of acute pancreatitis include: