Acute pancreatitis induced by hypecalcemiahypercalcemia due to primary
hyperparathyroidism (PHPT) is a very rare condition, and its prevalence is estimated to bebetween 1.5% and 7%. Previous Sstudies conducted in from India report an the incidence ofPHPT to be between 6.8% and 12%. However, in patients with PHPT and resulting
hypercalcemia, experience pancreatitis occurs 10 to –20 times more often thanthan in thegeneral population. Normally, hHypocalcemia is generally expected to occur during an attackof acute pancreatitis; thus, and hypercalcemia is a strong clue predictor for suspecting PHPT.
Hence, elevated serum calcium levels associated with pancreatitis should alert the physician
to either to suspect hyperparathyroidism or malignancy. The metabolic causes of acute

Comment [A1]: Terms such as thus, therefore,
furthermore, and however are used as transition
words to help in a better flow of ideas. Here, thus
helps connect the two sentences and helps a reader
understand that the former sentence helps understandwhy hypercalcemia is a strong predictor for PHPT.

pancreatitis include diabetic ketoacidosis, hypertriglyceridemia, and hypercalcemia with orwithout hyperparathyroidism. The most common etiologies of pancreatitis are gGallstones
and alcoholism are the commonest etiological agents of pancreatitis. Serum calcium level is
not routinely measured in all patients diagnosed with the a first attack of acute pancreatitis as
it is not the a common causeetiology. Some patients suffer from 2two or more attack attacks
of pancreatitis before the diagnosis of being diagnosed with PHPT. Here Wwe describe theComment [A2]: Ensuring accurate singular orplural form usage is essential for grammaticalaccuracy. Here, as more than one attack is beingreferred to, the plural form (attacks) is used.

case of a 30-year-old female patient who presented to a gastroenterology unit with severe
upper abdominal pain, vomiting, and a 3-day history of fever of 3 days’ duration. She had asimilar episode ofsimilar symptoms 2 months previously, for which she was admitted to a
civil hospital and diagnosed , where she was diagnosed as with case of acute pancreatitis.
There, she was and was managed conservatively and discharged after 7 days. She had noNo
additional risk factors causing acute pancreatitis such as history of alcohol consumption, orhyperlipidemia,; however, she had a history ofand gallstones were present. for which sheShe
had a history of undergone cholecystectomy 1.5 years earlier for stone. Therefore, Aafter
proper evaluation, a she was diagnosed with diagnosis of post-cholecystectomy acuteAll material in this document is the intellectual property of Crimson Interactive Pvt. Ltd. The use of informationand content in this document in whole or in part is forbidden unless express permission has been given inwriting by Crimson Interactive Pvt. Ltd.

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Comment [A3]: Removing redundancy aids inbetter readability and comprehension. Here, “asimilar episode of symptoms” has been revised to“similar symptoms” to present the same idea in amore concise manner.

pancreatitis was made, a and the patient was managed conservatively. Within the next 5months, she was again readmitted with after experiencing dyspeptic symptoms andabdominal pain pain in abdomen overof 20 days’ duration. On physical examination, theabdomen was found to be soft with diffuse tenderness, especially in the right hypochondrium.

All material in this document is the intellectual property of Crimson Interactive Pvt. Ltd. The use of informationand content in this document in whole or in part is forbidden unless express permission has been given inwriting by Crimson Interactive Pvt. Ltd.

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