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[Hereditary pancreatitis]
M M das Neves1, C V Oliveira, J M Chebli
1Disciplina de Gastroenterologia Clínica da Escola Paulista de Medicina, São Paulo.
Summary
Hereditary pancreatitis (HP) is a rare genetic disorder causing chronic pancreatitis, often presenting in childhood. Early diagnosis through familial screening is crucial, even with atypical symptoms like malnutrition.
Area of Science:
- Gastroenterology
- Genetics
- Internal Medicine
Background:
- Hereditary pancreatitis (HP) is an uncommon genetic disorder predisposing individuals to chronic pancreatitis.
- The typical presentation involves recurrent abdominal pain starting in childhood or adolescence.
Observation:
- A case of hereditary pancreatitis presented atypically in a non-alcoholic patient with steatorrhea and malnutrition, but no prior abdominal pain.
- Diagnostic evaluation confirmed severe chronic pancreatitis.
- Two close relatives were identified with early-onset calcifying pancreatitis.
Findings:
- Hereditary pancreatitis can manifest with non-classical symptoms, including malnutrition and steatorrhea.
- A family history of early-onset calcifying pancreatitis was noted in the affected individual's relatives.
- The case highlights the importance of considering HP in differential diagnoses.
Implications:
- Hereditary pancreatitis should be considered in the differential diagnosis of chronic pancreatitis, especially in younger individuals.
- Routine familial screening is recommended for suspected cases of hereditary pancreatitis.
- Early identification can facilitate timely management and genetic counseling.