Skip to main content
Log in

Macroamylasemia associated with ulcerative colitis

  • Case Report
  • Published:
Journal of Molecular Medicine Aims and scope Submit manuscript

Abstract

We describe a very rare case in which macroamylasemia was associated with ulcerative colitis of total colitis type. The patient's serum amylase isozyme pattern by electrophoresis showed a broad abnormal peak toward the side of the positive pole compared with regular salivary and pancreatic fractions. Sephadex G-200 column chromatography showed a sedimentation coefficient of 6.6 S. Amylase activity was bound to IgG. Double diffusion experiments demonstrated that amylase activity could be precipitated in gel by an antibody to the λ chain. Although inflammatory bowel disease is occasionally associated with hyperamylasemia due to pancreatitis, we emphasize that, when hyperamylasemia is recognized in patients with inflammatory bowel disease, macroamylasemia also should be considered.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

MA :

Macroamylasemia

UC :

Ulcerative colitis

IBD :

Inflammatory bowel disease

References

  1. Wilding P, Cooke WT, Nicholson GI (1964) Globulin-bound amylase: a cause of persistently elevated levels in serum. Ann Intern Med 60:1053–1059

    Google Scholar 

  2. Berk JE, Kizu H, Wilding P (1967) A newly recognized cause for elevated serum amylase activity. N Engl J Med 277:941–946

    Google Scholar 

  3. Shanahan F (1993) Pathogenesis of ulcerative colitis. Lancet 342:407–411

    Google Scholar 

  4. Seyrig JA, Jian R, Modigliani R, Golfain D, Florent C, Messing B, Bitoun A (1985) Idiopathic pancreatitis associated with inflammatory bowel disease. Dig Dis Sci 30:1121–1126

    Google Scholar 

  5. Sigita A, Fukushima T, Kawamoto M, Suwa H, Kubo A, Yamazaki Y, Tsuchiya S (1985) A case of macroamylasemia complicated with ulcerative colitis. Jpn J Gastroenterol 82:1944–1947

    Google Scholar 

  6. Haseda Y, Mori K, Sato T, Omoe T, Miwa U, Kawamura Y, Ooka T, Kinoshita Y, Mayamoto M, Takeda R (1979) A suggestive case of Crohn's disease with macroamylasemia. Jpn J Gastroenterol 76:1857–1863

    Google Scholar 

  7. Barrows D, Berk JE, Fridhandler L (1972) Macroamylasemia — survey of prevalences in a mixed population. N Engl J Med 286:1352

    Google Scholar 

  8. Long WB, Kowlessar OD (1972) A rapid thin layer test for macroamylasemia with observations on the nature of macroamylasemia in six patients. Gastroenterology 63:564–571

    Google Scholar 

  9. Van Gossum A (1989) Macroamylasemia: A biochemical or clinical problem? Dig Dis Sci 7:19–27

    Google Scholar 

  10. Berk JE, Kizu H, Take S, Friedhandler L (1970) Macroamylasemia: clinical and laboratory features. Am J Gastroenterol 53:211–222

    Google Scholar 

  11. Katz S, Bank S, Greenberg RE, Lendvai S, Lesser M, Napolitano B (1988) Hyperamylasemia in inflammatory bowel disease. J Clin Gastroenterol 10:627–630

    Google Scholar 

  12. Matsumoto T, Matsui T, Iida M, Nunoi K, Fujishima M (1989) Acute pancreatitis as a complication of Crohn's disease. Am J Gastroenterol 84:804–807

    Google Scholar 

  13. Ball WP, Baggenstoss AH, Bargen JA (1950) Pancreatic lesions associated with chronic ulcerative colitis. Arch Pathol 50:345–348

    Google Scholar 

  14. Chapin LE, Scudamore HH, Baggenstoss AH, Bargen JA (1956) Regional enteritis associated visceral changes. Gastroenterology 30:404–415

    Google Scholar 

  15. Götze H, Rothman SS (1978) Amylase transport across ileal epithelium in vitro. Biochem Biophys Acta 512:214–220

    Google Scholar 

  16. Falchuk KR, Isselbacher KJ (1976) Circulating antibodies to bovine albumin in ulcerative colitis and Crohn's disease. Gastroenterology 70:5–8

    Google Scholar 

  17. Doe WF, Booth CC (1973) Evidence for complement-binding immune complexes in adult celiac disease, Crohn's disease and ulcerative colitis. Lancet 24:402–403

    Google Scholar 

  18. Hodgson HJF, Whitaker KB, Cooper BT, Baron JH, Freeman HGM, Moss DW, Chadwick VS (1980) Malabsorption and macroamylasemia. Response to gluten withdrawel. Am J Med 69:451–457

    Google Scholar 

  19. Larvol L, Chagnon JP, Cerf M (1991) Celiac disease and macroamylasemia. Am J Gastroenterol 86:788

    Google Scholar 

  20. Hasselbacher P, Myers AR, Passero FC (1988) Serum amylase and macroamylase in patient with systemic lupus erythematosis. Br J Reumatol 27:198–201

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Fujimura, Y., Nishishita, C., Uchida, J. et al. Macroamylasemia associated with ulcerative colitis. J Mol Med 73, 95–97 (1995). https://doi.org/10.1007/BF00270584

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF00270584

Key words

Navigation