可能由塞马鲁肽引起的急性胰腺炎

IF 1 Q3 MEDICINE, GENERAL & INTERNAL Cureus Pub Date : 2024-09-21 eCollection Date: 2024-09-01 DOI:10.7759/cureus.69844
Katie Hughes, Yovan Ram Kurrun Sumaruth, Elmahi Mohammed, Vibhootee Sant Bakshsingh
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摘要

塞马鲁肽是一种胰高血糖素样肽-1受体激动剂(GLP-1RA),近年来因其能有效治疗2型糖尿病(T2DM)和肥胖症而广受欢迎。有极少证据表明,使用塞马鲁肽与急性胰腺炎之间存在联系。在本病例报告中,我们讨论了一例因突发上腹部疼痛而到急诊科就诊的 36 岁女性病例,她随后被诊断为急性胰腺炎。此外,她最近开始皮下注射塞马鲁肽以减轻体重,这是从她的一个熟人那里购买的,并未征求医生的建议。因此,停用塞马鲁肽后,她的脂肪酶水平恢复正常,症状明显改善,因此塞马鲁肽可能是导致她患急性胰腺炎的致病因素。鉴于GLP-1RA的使用越来越多,我们希望提高服用这种药物的患者(无论是否处方)对这种药物的认识,并提高临床医生在处方这种药物时对这种药物的认识。
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Acute Pancreatitis Likely Due to Semaglutide.

Semaglutide is a glucagon-like peptide-1 receptor agonist (GLP-1RA) that has gained recent popularity in its effective management of type 2 diabetes mellitus (T2DM) and obesity. Minimal evidence has reported the link between Semaglutide use and acute pancreatitis. In this case report, we discuss the case of a 36-year-old female presenting to the Emergency Department with sudden-onset epigastric pain, subsequently diagnosed with acute pancreatitis. Moreover, she had recently started subcutaneous semaglutide injections for weight loss, which she had procured from one of her acquaintances without seeking medical advice. Semaglutide was thus stopped and her lipase levels normalized with significant improvement of her symptoms, making semaglutide the likely causative factor for her acute pancreatitis. Given the increased use of GLP-1RA, we aim to increase awareness among patients taking this medication whether prescribed or not and increase clinician awareness when prescribing this medication.

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