VERY SEVERE HYPERTRIGLYCERIDEMIA-CASE REPORT WITH GENERAL CONSIDERATIONS

  • Rucsandra Elena Danciulescu Miulescu UMF Carol Davila, Bucharest
  • Anna Maria Tinu
  • Denisa Margina
  • Daniela Gradinaru
  • Anca Ungurianu
  • Loreta Guja
Keywords: very severe hypertriglycervery severe hypertriglyceridemia, diabetes, treatment

Abstract

Hypertriglyceridemia is defined as a value of fasting serum triglyceride over 150 mg/dl. The classification of hypertriglyceridemia according to the Endocrinology Society include mild and moderate hypertriglyceridemia, severe hypertriglyceridemia and very severe hypertriglyceridemia. Mild and moderate hypertriglyceridemia increase the risk for cardiovascular events while severe and very severe hypertriglyceridemia is a risk factor for acute pancreatitis. Conventional pharmacological therapy of hypertriglyceridemia includes: fibrates, niacin, statins, ezetimibe, omega-3-fatty acid. Other triglyceride-lowering therapies are represented by plasmapheresis and lipoprotein lipase gene therapy. The present work refers to a 59-year old man without history of family diabetes, dyslipidemia, premature coronary artery disease, diagnosed with T2DM in 2012, from 2014 on insulin treatment; he was hospitalized for endocrine evaluation. History: high blood pressure for approximately 25 years, chronic kidney disease, very severe hypertriglyceridemia, thyroid papillary carcinoma. The patient followed treatment with hypoglycemic, hypolipemic, low salt content diet, fibrates, statins, omega-3-fatty acid. Due to the fact that the patient did not respond to conventional therapy plasmapheresis was considered.

Published
2018-12-22
How to Cite
Danciulescu Miulescu, Rucsandra Elena, Anna Maria Tinu, Denisa Margina, Daniela Gradinaru, Anca Ungurianu, and Loreta Guja. 2018. “VERY SEVERE HYPERTRIGLYCERIDEMIA-CASE REPORT WITH GENERAL CONSIDERATIONS”. Romanian Journal of Diabetes Nutrition and Metabolic Diseases 25 (4), 425-30. http://www.rjdnmd.org/index.php/RJDNMD/article/view/540.
Section
Original Research Articles