| Autor: |
Yotsapon, Thewjitcharoen, Surat, Komindr, Veekij, Veerasomboonsin, Kewalin, Wattanawiroon, Soontaree, Nakasatien, Sirinate, Krittiyawong, Thep, Himathongkam |
| Zdroj: |
Clinical Medicine Insights: Case Reports; 8/23/2022, Vol. 15, p1-5, 5p |
| Abstrakt: |
The triad of diabetic ketoacidosis (DKA), severe hypertriglyceridemia, and acute pancreatitis have been occasionally described in severely obese patients with type 2 diabetes mellitus (T2DM). Herein, we present a long-term clinical course of a Thai man with ketosis-prone diabetes mellitus (KPDM) complicated with recurrent pancreatitis due to multifactorial chylomicronemia syndrome. Genetic testing showed no mutation in lipoprotein lipase (LPL) and its co-factors. The patient was referred to multidisciplinary team for lifelong weight loss consultation, limiting intake of fat and simple carbohydrates, and adherence to lipid-lowering medications. Subsequent follow-up 1 year later showed no recurrent pancreatitis. In patients with multifactorial chylomicronemia syndrome, long-term management with dietary modifications together with pharmacotherapy remains the cornerstone of successful treatment. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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