首页|Incidental diagnosis of LPL deficiency in an infant presenting with an acute respiratory infection

Incidental diagnosis of LPL deficiency in an infant presenting with an acute respiratory infection

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Lipoprotein lipase (LPL) deficiency is an extremely rare disorder of lipid metabolism known to cause hyper-triglyceridaemia in childhood. We report the incidental diagnosis of LPL deficiency in an infant presenting with an acute respiratory tract infection. The patient was initially treated for a lower respiratory tract infection, but was subsequently found to have milky appearance of the serum, with a triglyceride concentration greater than 1000 mg/dL. Clinical examination revealed hepatosplenomegaly. Genetic analysis showed that the patient was a compound heterozygote for two rare likely pathogenic LPL variants c.808C>G p.(Arg270Gly) and c.1019-3C >G. She was commenced on a low-fat diet with the addition of medium chain triglyceride formula. At follow-up, her serum triglyceride level was normal.

Familial chylomicronaemiaLipoprotein lipaseLPL deficiencyCompound heterozygote

Thaneefa, Mohamed Thowfeek Zeenath、Amarakoon, Givani、Mendis, Devan、Jasinge, Eresha、Hooper, Amanda J.、Burnett, John R.

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Dept Chem Pathol,Lady Ridgeway Hosp Children

Fac Med & Allied Sci,Rajarata Univ Sri Lanka

Dept Paediat,Lady Ridgeway Hosp Children

Dept Clin Biochem,Royal Perth Hosp

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2022

Clinica chimica acta

Clinica chimica acta

ISTP
ISSN:0009-8981
年,卷(期):2022.529
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