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Exocrine pancreatic function was tested in 8 patients with pancreatitis and hyperlipoproteinemia type I, IV and V. Three young patients with HLP I and V and 2 patients with alcoholic HLP type V exhibited in most cases a distinctly reduced pancreatic function (chronic relapsing pancreatitis). Three patients with primary or secondary HLP type IV and V did not present pancreatic insufficiency (acute pancreatitis, acute relapsing pancreatitis). Taking into account the literature data and our own experience it can be stated that all forms of excessive hypertriglyceridemia can give rise to acute pancreatitis. Different possible causal relationships between HLP and pancreatitis are discussed. Concomitant occurrence of HLP and pancreatitis is observed most often in alcoholics.
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