Exceptionally elevated triglyceride in severe lipemia retinalis

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Abstract

Purpose: To report a case of successful treatment for severe lipemia retinalis with extreme severe hypertriglyceridemia (sHTG). Design: Observational case report. Observations: A 6-week-old infant with severe lipemia retinalis manifested diffuse creamy retinal vessels complicated with vulvar xanthomas. Extreme sHTG with 185-folds of the normal level was reported. Chromosome microarray and lipid gene sequencing confirmed a homozygous lipoprotein lipase gene coding mutation. Results: Under strict adherence to a high medium-chain triglycerides formula and discontinuation of breast milk, the lipemia retinalis and vulval lesions resolved along with a stable plasma lipid level throughout the follow-up period of 6 months. Conclusion: Strict adherence to a low-fat diet without breast milk appears to be effective in treating infants with severe lipemia retinalis associated with exceptionally high triglycerides.

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Yin, H. Y., Warman, R., Suh, E. H., & Cheng, A. M. S. (2016). Exceptionally elevated triglyceride in severe lipemia retinalis. International Medical Case Reports Journal, 9, 333–336. https://doi.org/10.2147/IMCRJ.S118594

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