Fast Five Quiz: Exocrine Pancreatic Insufficiency Presentation and Diagnosis

B.S. Anand, MD


May 04, 2020

Patients with exocrine pancreatic insufficiency are often asymptomatic, and clinically relevant maldigestion may occur earlier than noticeable symptoms. Lipid-soluble vitamins are lost along with fecal fat, so they are especially affected.

Vitamin K malabsorption and subsequent hypoprothrombinemia can result in bleeding disorders. Ecchymosis usually is the manifesting symptom; less frequently, melena and hematuria may occur.

Visual impairment, particularly in the dark, can result from a vitamin A deficiency.

Exocrine pancreatic insufficiency is strongly associated with muscle wasting, a consequence of the malnutrition associated with the disorder.

Learn more about exocrine pancreatic insufficiency.


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