Asymptomatic massive hypertriglyceridemia in an octogenarian
| Autor: | Antonio Vittorino Gaddi, Arrigo F G Cicero, Z. Sangiorgi, Maria Panagiota Panourgia, Simona Nascetti |
|---|---|
| Rok vydání: | 2001 |
| Předmět: |
Male
medicine.medical_specialty medicine.drug_class Keratic precipitate Coronary Disease Fibrate Asymptomatic Gastroenterology Hyperlipoproteinemia Type IV Severity of Illness Index Internal medicine Epidemiology medicine Humans Sedentary lifestyle Aged Aged 80 and over business.industry Hypertriglyceridemia General Medicine medicine.disease Surgery Fatty Liver medicine.symptom business Body mass index Lipoprotein |
| Zdroj: | Medical principles and practice : international journal of the Kuwait University, Health Science Centre. 12(1) |
| ISSN: | 1011-7571 |
| Popis: | Objective: To report the case of an 85-year-old man with asymptomatic massive hypertriglyceridemia (MHTG). Clinical Presentation and Intervention: Our case was a non-smoker, healthy 85-year-old Caucasian male, with no excessive alcohol intake and no evidence of an excessive sedentary lifestyle, body mass index = 23.2 kg/m2, BP = 125/85 mm Hg and plasma triglyceride (TG) >1,000 mg/dl. The MHTG was an incidental finding at the age of 70. He had no cardiovascular disease, xanthomas, xanthelasmas or keratic precipitate. During the last 15 years, his average TG plasma levels showed a significant variability independent of specific diet treatment and fibrate therapy. Liver ultrasound examination excluded hepatomegaly and fatty degeneration. Carotid artery ultrasound showed only intimal thickening in both carotid bifurcations. Conclusion: In this patient, MHTG had been silent for many years, with no evidence of coronary heart disease and liver fatty degeneration, both typical complications present in MHTG subjects with low high-density lipoprotein. Hence, this case must be considered as a rarity. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|