Hereditary pancreatitis is a rare form of chronic recurrent pancreatitis. A
family, in which 11 members had chronic pancreatitis, five had diabetes, a
nd two had pancreatic cancer, was studied, and hereditary pancreatitis was
diagnosed in all patients by demonstrating the mutation in exon 3 of the ca
tionic trypsinogen gene (R117H). The clinical implications of genotypic ana
lysis in hereditary pancreatitis are discussed.