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Idiopathic vs Hereditary Pancreatitis
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To the Editor: In their Research Letter, Dr Simon and colleagues reported a high percentage of trypsinogen mutations in patients with nonalcoholic (idiopathic) chronic pancreatitis.1 However, the authors do not cite a number of previous studies of this relationship, some of which found a weaker association.2-6 The 5 largest studies of the association of chronic idiopathic pancreatitis and trypsinogen mutations are shown in Table 1. We focused on the most common trypsinogen mutations, A16V, N29I, and R122H, as they were the only ones clearly shown to be disease associated.
Table appears in full text version.
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Table. Frequency of Mutations of Cationic Trypsinogen in Patients With Idiopathic Pancreatitis and Impact Factors of Journals
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From Table 1, it appears that studies that evaluate more patients tend to find a lower percentage of trypsinogen mutations. The small "positive" studies, however, are more likely to be published in journals with higher impact factors. This appears to be an . . . [Full Text of this Article]
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