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| Pancreatic pathology |
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Pancreas Auto-Antibodies. |
| These autoantibodies are of potential importance in working
up cases of hypoglycemia and possible cases of autoimmune pancreatitis.
Hypoglycemic workup: Islet auto-antibodies are said to be able to
be detected early in development of type 1 diabetes and are considered to be
markers of autoimmune beta cell destruction. They are said to predict
progressive beta cell destruction and ultimately beta cell failure.
The autoantibodies most commonly measured for this workup include islet cell
antibodies (ICA), insulin autoantibodies (IAA), glutamic acid decarboxylase
antibodies (GADA or GAD65), and protein tyrosine phosphatase-like protein
antibodies (insulinoma-associated protein; IA2-ab) antibodies. The
presence of high levels of two or more of these antibodies is strongly
predictive of type I diabetes mellitus.
Autoimmune pancreatitis workup: Typical laboratory findings
include increased levels of serum pancreatic enzymes (amylase, lipase,
elastase), hypergammaglobulinemia, and the presence of autoantibodies
(including ANA, anti-lactoferrin (ALF), anti-carbonic anhydrase II (ACA II),
anti-elastase, anti-carboxypeptidase, and anti-alpha-fodrin (this marker may
also be involved in Sjogren's syndrome) and anti-mitochondrial antibodies
(as in primary biliary cirrhosis, but rarely found in autoimmune
pancreatitis). |
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References:
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Endotext.org website; http://www.endotext.org/protocols/protocols5/protocols5.htm
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Surgical Pathology of the GI Tract, Liver, Biliary
Tract and Pancreas, Chapter 30, Page 683.
(posted 18 August 2004) |
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