Takemura Yuma, Inoue Tomoko, Matsunaga Keiji, Tani Ryosuke, Fu Hai Ying, Minamino Tetsuo
Department of Cardiorenal and Cerebrovascular Medicine, Faculty of Medicine Kagawa University Kagawa Japan.
Clin Case Rep. 2024 Feb 5;12(2):e8485. doi: 10.1002/ccr3.8485. eCollection 2024 Feb.
Although the lean mass hyper-responder (LMHR) phenotype is well known, its diagnosis is impeded by the influence of fat type and intake on the lipid profile. Accordingly, a detailed assessment is warranted if LMHR is suspected.
A 47-year-old man with suspected familial hypercholesterolemia presented with elevated triglyceride and low-density lipoprotein cholesterol levels. He had adhered to a ketogenic diet and was suspected of a lean mass hyper-responder phenotype; however, his lipid profile did not meet the definition. His lipid profile improved through dietary management without medication.
尽管瘦体重高反应者(LMHR)表型广为人知,但脂肪类型和摄入量对血脂谱的影响阻碍了其诊断。因此,如果怀疑为LMHR,则需要进行详细评估。
一名疑似家族性高胆固醇血症的47岁男性,甘油三酯和低密度脂蛋白胆固醇水平升高。他坚持生酮饮食,疑似为瘦体重高反应者表型;然而,他的血脂谱不符合该定义。通过饮食管理,他的血脂谱得到改善,无需药物治疗。