Neopterin Plasma Concentrations Predict the Course of Severe Acute Pancreatitis
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Peter Kaufmann
Abstract
In a prospective, descriptive study in 25 patients with acute pancreatitis neopterin plasma concentrations were found to be associated with the severity of the disease, which was assessed using weights of the worst 17 physiological abnormalities of the APACHE-III score over a 24 h period after hospital admission. Neopterin concentrations were higher in severe pancreatitis (n = 10) compared to mild disease, and there existed a positive exponential correlation between neopterin and the Acute Physiology Score (r = 0.66). Higher neopterin concentrations were associated with the development of multiple organ failure (p = 0.012) and death (p = 0.019). At a cut-off concentration of 12 nmol/l the sensitivity (80 %) and specificity (100 %) of neopterin for the discrimination between mild and severe clinical course of pancreatitis was more accurate than C-reactive protein at a risk threshold of 1.2 g/l (70 % and 87 %). Development of pancreatic necrosis was associated with higher neopterin concentrations than edematous pancreatitis (p < 0.001).
Copyright © 1998 by Walter de Gruyter GmbH & Co. KG
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- Predictive Medicine
- Standardization and Clinical Management of Lipoprotein(a) Measurements
- Evaluation of the Iron Status of the Newborn by Soluble Transferrin Receptors in Serum
- Quantitation of IgG and IgM Human Anti-Mouse Antibodies (HAMA) Interference in CA 125 Measurements Using Affinity Chromatography
- Neopterin Plasma Concentrations Predict the Course of Severe Acute Pancreatitis
- Objectives, Design and Recruitment of a Familial and Longitudinal Cohort for Studying Gene-Environment Interactions in the Field of Cardiovascular Risk: The Stanislas Cohort
- Total Carbon Dioxide Measured by the Vitros Enzymatic Method
- Evaluation of Glucocard Memory 2 and Accutrend® Sensor Blood Glucose Meters
- Evaluation of Circulating Type I Procollagen Propeptides in Patients with Paget's Disease of Bone
- Properties and Units in the Clinical Laboratory Sciences XIII. Properties and Units in Reproduction and Fertility
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