Chylomicronemia and the chylomicronemia syndrome: A practical approach to management

被引:56
作者
Leaf, David Alexander [1 ]
机构
[1] Univ Calif Los Angeles, Sch Med, Dept Med, Los Angeles, CA 90024 USA
关键词
chylomicronemia; lipids; pancreatitis;
D O I
10.1016/j.amjmed.2007.10.004
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Chylomicronemia is present when triglyceride levels exceed 1000 mg/dL. Chylomicronemia, when accompanied by eruptive xanthoma, lipemia retinalis, or abdominal symptoms, is referred to as the "chylomicronemia syndrome" and can cause acute pancreatitis. Treatment aimed at reducing triglyceride levels includes lifestyle modifications to promote weight loss with diet and physical activity coupled with medications, including fibrates, n-3 polyunsaturated fatty acids, and nicotinic acid. Chylomicronemic patients with acute pancreatitis require insulinization in an inpatient setting to abolish chylomicronemia. (C) 2008 Elsevier Inc. All rights reserved.
引用
收藏
页码:10 / 12
页数:3
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