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Original Article



Diagnostic Potential of Ratio Between Creatine Kinase and Amylase in Acute Pancreatitis

Azra Husic-Selimovic, Rijad Jahic, Avdo Kurtovic, Nerma Custovic, Almir Fajkic.




Abstract

Background:  Acute pancreatitis (AP) is an acute inflammatory illness of the pancreas representing a true question in diagnostic process. Laboratory markers of the hepatobiliary tract such as liver transaminases with pancreatic enzymes give a true hint of a hidden diagnosis together with urea, creatinine and creatine kinase (CK). Objective: This clinical study aims to show whether there is any correlation between alpha-amylase and CK or their ratio examining hospitalized patients with AP diagnosis. Methods: From total number of 99 patients with a clinical picture of AP, 71 patients in this retrospective analysis (including both genders) were included according to the presence of two biochemical markers in collected laboratory analysis at admission and 72 hours later on a laboratory check-up: CK and alpha-amylase. Results: The median CK value of AP cases was 92 (41.75 – 207.25) in the acute period and 73 (37 – 159) after 72h staying in the hospital without statistical significant (p=0.521; p

Key words: creatine kinase, amylase, CK/amylase ratio, acute pancreatitis






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