[Plasmapheresis in the treatment of hypertriglyceridemia].

Abstract

The authors present the case of a 38-year-old woman with severe hypertriglyceridemia-induced acute recurrent pancreatitis (triglyceride 16 761 mg/dl, 189.4 mmol/l). According to the knowledge of the authors, such a high triglyceride has not been previously reported in Hungarian and international scientific literature. The patient received conventional treatment (fluid replacement, analgesic, antibiotics, discontinuation of oral intake) and plasmapheresis too. After two sessions of plasmapheresis with one month interval the clinical and laboratory parameters greatly improved. Severe hypertriglyceridemia (triglyceride level more than 1000 mg/dl, ≈11.3 mmol/l) is an independent risk factor for acute pancreatitis. Plasmapheresis seems to be safe and effective to rapidly decrease triglyceride levels and to remove the causative agent for pancreatitis in a patient with severe hypertriglyceridemia.

• Authors: Tatjána Ábel, Katalin Sándor, Anna Tremmel, István Pénzes, Eldin Mohamed Gamal, Gabriella Lengyel, István Szabolcs
• Journal: Orvosi hetilap (Orv Hetil) Vol. 155 Issue 30 Pg. 1203-6 (Jul 27 2014) ISSN: 0030-6002 [Print] Hungary
• Vernacular Title: Hypertriglyceridaemia kezelése plazmaferézissel.
• PMID: 25063703 (Publication Type: Case Reports, English Abstract, Journal Article)

Chemical References

• Triglycerides

Topics

• Acute Disease
• Adult
• Female
• Humans
• Hypertriglyceridemia (blood, complications, therapy)
• Pancreatitis (blood, etiology)
• Plasmapheresis
• Recurrence
• Severity of Illness Index
• Treatment Outcome
• Triglycerides (blood)