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Lipase Elevation in Patients With COVID-19

Julia McNabb‐Baltar, David X. Jin, Amit S. Grover, Walker D. Redd, Joyce Zhou, Kelly Hathorn, Thomas R. McCarty, Ahmad Najdat Bazarbashi, Lin Shen, Walter W. Chan

2020The American Journal of Gastroenterology119 citationsDOIOpen Access PDF

Abstract

INTRODUCTION: Although coronavirus disease (COVID-19) has been associated with gastrointestinal manifestations, its effect on the pancreas remains unclear. We aimed to assess the frequency and characteristics of hyperlipasemia in patients with COVID-19. METHODS: A retrospective cohort study of hospitalized patients across 6 US centers with COVID-19. RESULTS: Of 71 patients, 9 (12.1%) developed hyperlipasemia, with 2 (2.8%) greater than 3 times upper limit of normal. No patient developed acute pancreatitis. Hyperlipasemia was not associated with poor outcomes or symptoms. DISCUSSION: Although a mild elevation in serum lipase was observed in some patients with COVID-19, clinical acute pancreatitis was not seen.

Topics & Concepts

MedicineCoronavirus disease 2019 (COVID-19)Acute pancreatitisInternal medicinePancreatitisRetrospective cohort studyGastroenterologyLipaseSevere acute respiratory syndrome coronavirus 2 (SARS-CoV-2)2019-20 coronavirus outbreakCohortPathologicalDiseasePathologyInfectious disease (medical specialty)EnzymeBiochemistryOutbreakChemistryCOVID-19 Clinical Research StudiesDermatological and COVID-19 studiesPancreatitis Pathology and Treatment
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