Hypertriglyceridemia familial E78.1
Synonym(s)
carbohydrate-induced hyperlipidemia; carbohydrate-induced triglyceridemia; Endogenous hyperlipemia; Endogenous hypertriglyceridemia; Familial hypertriglyceridemia; Hyperlipemia endogenous; Hyperlipidemia carbohydrate-induced; Hyperlipoproteinemia type IV; Hyperprebetalipoproteinemia; Hypertriglyceridemia endogenous; Triglyceridemia carbohydrate-induced
Definition
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Molecular genetic inconsistent hyperlipoproteinemia often characterized by a decrease of HDL and an increase of triglycerides.
Occurrence/Epidemiology
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Prevalence is 1-2/100
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Localization
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Mainly buttocks, thigh flexion sides.
Clinic
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Clinically, the lipid metabolism disorder manifests itself as "hyperlipoproteinemia type 4" according to Fredrickson with obesity, peripheral circulatory disorders (arteriosclerosis), coronary insufficiency, multiple xanthomatosis, papular, normolipemic, even striated xanthomas along the hand lines. There is also an increased risk of pancreatitis. Possibly fatty liver and diabetes type 2.
Laboratory
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Serum is clear or milky turbid; increase of pre-β lipoproteins, triglycerides and reduced glucose tolerance.
Therapy
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Metabolic adjustment in cooperation with the internist; possibly surgical removal of the xanthomas.
Recommended articles
Incoming links (7)
Hyperlipidemia, carbohydrate-induced; Hyperprebetalipoproteinemia; Hypertriglyceridemia, endogenous; Triglyceridemia, carbohydrate-induced; Xanthoma palmare striatum; Xanthoma tuberosum; Xanthome eruptive;Outgoing links (3)
Fredrickson classification; Xanthoma palmare striatum; Xanthomatosis papular normolipemic;Disclaimer
Please ask your physician for a reliable diagnosis. This website is only meant as a reference.
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Prof. Dr. med. Peter Altmeyer