Journal of Clinical Medicine Research, ISSN 1918-3003 print, 1918-3011 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Clin Med Res and Elmer Press Inc
Journal website http://www.jocmr.org

Original Article

Volume 5, Number 1, February 2013, pages 12-17


To Study the Clinical, Biochemical and Radiological Features of Acute Pancreatitis in HIV and AIDS

Figures

Figure 1.
Figure 1. The representation of acute pancreatitis and Balthazar grade scoring system.
Figure 2.
Figure 2. A and B: CT scan of acute pancreatitis in a 41-year-old female showing lucencies in the head of the pancreas and peripancreatic fluid stranding.

Tables

Table 1. Demographics of Study Population
 
Patient CharacteristicsN%
No of Admissions94
No of Patients67
Age (Median)48(Range 23 - 60)
Gender
Male3755
Female3045
Race
African American5176
Hispanic1319
Others35
Hepatitis Profile (n = 43)
Hepatitis B (sAg +)1126
Hepatitis C2149
Alcohol Abuse (n = 53)2751
Patients on HAART therapy3638
Prophylaxis for opportunistic infection
Pentamidine12
Co-Trimoxazole1334
Atovaquine410.5
IV Drug abuse (n = 49)1837

 

Table 2. Patients Receiving HAART Therapy at the Time of Pancreatitis
 
HAART Therapy n=36No of Patients
Nucleoside reverse transcriptase inhibitors (NRTIs)
   Emtricitabine17
   Zidovudine17
   Tenofovir22
   Abacavir6
Non-nucleoside reverse transcriptase inhibitors (NNRTIs)
   Efavirenz10
Protease Inhibitors
   Lamivudine22
   Atazanavir7
   Darunavir3
   Ritonavir17
   Lopinavir5
   Nelfinavir3
   Saquinavir1
Integrase Inhibitor
   Isentress3

 

Table 3. Acute Pancreatitis and CD4 Counts
 
CD4 count (cells/mm3)n = 72%
≤ 502332
51 - 2001521
201 - 3501318
350 - 5001216.6
> 500912.5

 

Table 4. Biochemical Characteristics of Acute Pancreatitis
 
Lab ValuesMedianRangeNormal Range
Amylase (U/L)15230 - 1,34430 - 110
Lipase (U/L)702.530 - 5,76623 - 300
Triglycerides (mg/dL)6557 - 40040 - 150
WBC No/mm36,100900 - 25,7004 - 11
Glucose (mg/dL)9460 - 1,67065 - 99
Lactate (mmol/L)2.31.09 - 5.490.7 - 2.1
AST (U/L)61.59 - 1,95017 - 59
Bicarbonate (mEq/L)19.53.3 - 82.722 - 28