Toor Anika, Toor Amit, Khalighi Koroush, Krishnamurthy Mahesh
Department of Internal Medicine, Easton Hospital, Easton, PA 18045, USA.
Drexel University, EP Lab, Easton Hospital, Easton, PA 18045, USA.
Case Rep Endocrinol. 2019 May 21;2019:6273196. doi: 10.1155/2019/6273196. eCollection 2019.
We present a rare case of a 49-year-old female with very severe hypertriglyceridemia (HTG) having a total triglyceride (TG) count of > 10,000 mg/dL in the absence of pancreatitis. Based on literature review, this is one of the highest recorded TG counts in an adult without evidence of pancreatitis. HTG is a common occurrence in clinical practice, but rarely do numbers exceed 2000 mg/dl. It is crucial to evaluate and rapidly lower TG levels to prevent potentially life-threatening complications such as severe pancreatitis. Removal of potential predisposing medications, control of underlying diseases known to cause HTG, and maintenance therapies are essential to prevent reoccurrence.
我们报告了一例罕见病例，一名49岁女性患有非常严重的高甘油三酯血症（HTG），总甘油三酯（TG）计数>10,000mg/dL，且无胰腺炎。根据文献综述，这是有记录的成年无胰腺炎证据患者中最高的TG计数之一。HTG在临床实践中很常见，但数值很少超过2000mg/dl。评估并迅速降低TG水平以预防潜在的危及生命的并发症（如重症胰腺炎）至关重要。停用潜在的诱发药物、控制已知导致HTG的基础疾病以及维持治疗对于预防复发至关重要。
