Vermeer B J, Poland M K
Dermatologica. 1975;151(1):43-50. doi: 10.1159/000251312.
A woman, aged 46 years, with a hyperlipoproteinemia phenotype V, an unusual type of xanthomatosis, as well as lipemia retinalis, diabetes mellitus, and nephropathia, is discussed. The withdrawal of 64 IU insulin and the institution of a hypocaloric diabetes diet resulted in the disappearance of the skin lesions and a regression of the eye lesion. During this treatment the total lipid-level became almost normal (6,965 mg% before treatment and 947 mg% after 10 weeks). The chylomicrons disappeared but the VLDL content remained relatively and absolutely elevated, as in type IV hyperlipoproteinemia.
本文讨论了一位46岁女性，她患有V型高脂蛋白血症、一种罕见的黄瘤病类型、视网膜脂血症、糖尿病和肾病。停用64 IU胰岛素并采用低热量糖尿病饮食后，皮肤病变消失，眼部病变有所缓解。在治疗期间，总血脂水平几乎恢复正常（治疗前为6,965 mg%，10周后为947 mg%）。乳糜微粒消失，但极低密度脂蛋白（VLDL）含量相对和绝对升高，如同IV型高脂蛋白血症。
