Alstrom Syndrome with Acute Pancreatitis: A Case Report

Alstrom症候群合併急性胰臟炎 ─ 病例報告

吳文誌(Wen-Chih Wu) ； 陳信成(Shinn-Cherng Chen) ； 戴嘉言(Chia-Yen Dia) ； 余明隆(Ming-Lung Yu) ； 謝明裕(Ming-Yuh Hsieh) ； 林子堯(Zu-Yau Lin) ； 王良彥(Liang-Yen Wang) ； 蔡榮發(Jung-Fa Tsai) ； 張文宇(Wen-Yu Chang) ； 莊萬龍(Wan-Long Chuang)

《The Kaohsiung Journal of Medical Sciences》 19卷7期 (2003/07) Pp. 358-361

摘要

本文報告一位21歲女性，因罹患視網膜桿狀柱狀細胞萎縮、眼震顫、肥胖、漸進性感覺神經性聽力障礙、糖尿病、高三酸甘油血酯症，由一系檢查診斷為肝功能異常和急胰臟炎，經臨床診斷確立為Alstrom症候群是一多種器官侵犯的疾病，肝臟疾病及可能因高血酯症引發之胰臟炎是此疾病的表現之一。醫師在處理此複雜多器官侵犯且因視力和聽力問題而無法表答病痛的患者是相當困難的。

關鍵字

Alstrom症侯群 ； 急性胰臟炎

並列摘要

We report the case of a 21-year-old female with Alstrom syndrome who also suffered from acute pancreatitis of obscure manifestation. The patient had underlying cone-rod dystrophy of the retinas, nystagmus, obesity, progressive sensorineural hearing impairment, diabetes mellitus, and hypertriglyceridemia, compatible with the clinical diagnosis of Alstrom syndrome. Serial examinations showed liver dysfunction and pancreatitis. In treating a patient with poor communication (i.e. cone-rod dystrophy and hearing impairment) suffering from acute illness, understanding the underlying disease and the potential for pancreatitis with hypertriglyceridemia is necessary. It is also a challenge to treat a patient with multiple system involvement. In conclusion, Alstrom syndrome is a disease of systemic multi-organ involvement, and hepatic disease and pancreatitis, possibly due to dyslipidemia, appear to be manifestations of Alstrom syndrome.

並列關鍵字

Alstrom syndrome ； acute pancreatitis