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一名9个月大婴儿的家族性乳糜微粒血症

Familial chylomicronemia in a nine months old infant.

作者信息

Lone Saira Waqar, Imdad Aamer, Billoo Abdul Gaffar

机构信息

Department of Pediatrics, The Aga Khan University Hospital, Karachi.

出版信息

J Coll Physicians Surg Pak. 2008 Oct;18(10):655-6. doi: 10.2008/JCPSP.655656.

Abstract

Familial chylomicronemia syndrome is a rare disorder of lipoprotein metabolism due to familial lipoprotein lipase or apolipoprotein C-II deficiency or the presence of inhibitors to lipoprotein lipase. It manifests as eruptive xanthomas, acute pancreatitis, and lipaemic plasma due to marked elevation of triglyceride and chylomicrons levels. We report a rare case of familial chylomicronemia in a 9-month-old infant, who was diagnosed after his plasma was incidentally found to be milky. Lipid profile showed familial chylomicronemia (Type 1 Hyperlipidemia). The infant was started on a low fat diet and advised a regular follow-up.

摘要

家族性乳糜微粒血症综合征是一种罕见的脂蛋白代谢紊乱疾病,病因是家族性脂蛋白脂肪酶或载脂蛋白C-II缺乏,或存在脂蛋白脂肪酶抑制剂。它表现为疹性黄瘤、急性胰腺炎以及由于甘油三酯和乳糜微粒水平显著升高导致的脂血症。我们报告一例9个月大婴儿患罕见家族性乳糜微粒血症的病例,该婴儿因偶然发现血浆呈乳状而被诊断。血脂谱显示为家族性乳糜微粒血症(1型高脂血症)。该婴儿开始接受低脂饮食,并被建议定期随访。

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