1型糖尿病继发高脂血症所致的视网膜脂血症

Lipemia Retinalis due to Secondary Hyperlipidemia in Type 1 Diabetes Mellitus.

作者信息

Gayathri K, Ramalingam P K, Santhakumar Rpsp, Manjunath B V, Karuppuswamy N, Vetriveran B, Selvamani S, Vishnuram P, Muruganathan A, Natarajan Kumar

机构信息

Postgraduate.

Assistant Professor.

出版信息

J Assoc Physicians India. 2016 Apr;64(4):83-84.

PMID:27734650

Abstract

Lipemia retinalis is a rare and asymptomatic condition which occurs when high levels of triglycerides and chylomicrons are present in blood. We report a rare case of secondary hyperlipoproteinemia in a 27 year old type 1 diabetes patient who presented with diabetic ketoacidosis and this peculiar ocular manifestation. The fundoscopic abnormality and creamy white serum cleared as the level of chylomicrons in the plasma dropped with intensive insulin therapy.

摘要

视网膜脂血症是一种罕见的无症状病症，当血液中存在高水平的甘油三酯和乳糜微粒时就会出现。我们报告了一例罕见的继发性高脂蛋白血症病例，患者为一名27岁的1型糖尿病患者，出现了糖尿病酮症酸中毒以及这种特殊的眼部表现。随着强化胰岛素治疗使血浆中乳糜微粒水平下降，眼底镜检查异常和乳状白色血清也随之消失。