Tamoxifen Induced Pancreatitis: An Unusual Complication of Commonly used Drug
Journal Title: Journal of Clinical and Diagnostic Research - Year 2017, Vol 11, Issue 8
Abstract
Tamoxifen is a selective oestrogen receptor modulator used for the treatment of oestrogen/progesterone receptor positive breast cancer. It possess antagonistic or agonistic activity depending on the tissue location i.e., antagonistic action on breast but agonist action on endometrium and bones. The side effects of tamoxifen include hot flushes, gynaecologic symptoms (vaginal dryness, vaginal discharge), depression, forgetfulness, sleep alterations, weight gain, alteration of lipoprotein metabolism, thromboembolic disorder. Tamoxifen, like oestrogens, increases the plasma level of triglycerides and liver secretion of Very Low Density Lipoprotein (VLDL). Moreover, it inhibits the key enzymes of triglyceride metabolism. However, there are few cases of severe tamoxifen induced hypertriglyceridemia and pancreatitis. Hypertriglyceridemia is one of the risk factor for acute pancreatitis. Here we present a case of tamoxifen-induced hypertriglyceridemia and acute pancreatitis in a 50-year-old female without any comorbidity. She was treated with supportive antibiotics and supportive therapy. About one week after discharge, patient was started on letrozole 2.5 mg once a day. Clinicians must be aware of this rare side effect of tamoxifen, so baseline and periodic testing of triglyceride level must be done to avoid such complications.
Authors and Affiliations
PRITAM SURESH CHANDRA KATARIA, Pradip Piraji KENDRE, Apurva Ashok Patel, Murtaza zoher Bohra, Nahush Tahili
Keywords
Related Articles
- EP ID EP361575
- DOI 10.7860/JCDR/2017/27440.10467
- Views 90
- Downloads 0
Global Search Trends of Oral Problems using Google Trends from 2004 to 2016: An Exploratory Analysis
Introduction: Oral diseases are pandemic cause of morbidity with widespread geographic distribution. This technology based era has brought about easy knowledge transfer than traditional dependency on information obtained...
Diagnosis of Acute Q Fever by Detection of Coxiella burnetii DNA using Real-Time PCR, Employing a Commercial Genesig Easy Kit
Introduction: Query (Q) fever is an important zoonosis and a cause of concern for humans, due to the potential bioterrorism threat posed by the causative agent, Coxiella burnetii. Because of the danger of contracting the...
Toxic Trauma: A Basic Clinical Guide, Second Edition
Book Review
Eslicarbazepine Induced Stevens-Johnson Syndrome: A Rare Case Report
ABSTRACT Stevens-Johnson Syndrome (SJS) is a rare severe cutaneous disease which may be fatal at times. One of the important aetiology of SJS is drug induced commonly due to drugs like carbamazepine, allopurinol, penicil...
Spontaneous Intracranial Hypotension
Images in Medicine