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| Natura: | Artículo científico |
| Lingua: | en |
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Universidad del Valle
2021
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| Accesso online: | https://www.redalyc.org/articulo.oa?id=28366572007 https://www.redalyc.org/journal/283/28366572007/ https://www.redalyc.org/journal/283/28366572007/html/ https://www.redalyc.org/journal/283/28366572007/28366572007.epub https://www.redalyc.org/journal/283/28366572007/movil |
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| _version_ | 1866814089327542272 |
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| author | Jon Ortiz de Salido-Menchaca |
| author_facet | Jon Ortiz de Salido-Menchaca |
| contents | Retinal lipemia as expression of hyperchylomicronemia syndrome Jon Ortiz de Salido-Menchaca Manuel Antonio Tazón-Varela David de la Hera-Vegas Rosa Herreras-Martínez Sergio Andrés Álvarez-Agudelo Nuria Arencibia-Hernández Medicina retina hyperlipemia chemotherapy Visual Acuity hypertriglyceridemia Case description: Case of lipemia retinalis secondary to hyperchylomicronemia in a 40-year-old man with a history of total body irradiation and immunosuppressive treatment that was attended in this hospital due to decreased visual acuity and abdominal pain. Clinical findings: Hyperchylomicronemia caused the development of acute pancreatitis and lipemia retinalis. The latter is an infrequent ocular manifestation that reflects excessive triglyceride blood levels in the organism (>2,000 mg/dL). Lipemia retinalis is characterized by the accumulation of chylomicrons in the retinal vessels, which gives them a white and creamy appearance in direct retinal ophthalmoscopy. The initial clinical suspicion of hyperchylomicronemia was based on the visualization of the supernatant in the analytical tube. Treatment and result: In the absence of definitive biochemical results, and owing to the need for special processing of the sample, lipid-lowering treatment and serum therapy were established after ophthalmological confirmation of lipemia retinalis, with subsequent full recovery of visual acuity.Clinical relevance: Given the initial difficulty to determine the accurate triglyceride levels in this kind of patient, early visualization of milky-colored retinal vessels on a salmon-colored eye fundus can help develop an early clinical suspicion of severe hyperchylomicronemia and contribute to limit the severity of complications. 2021 otro 0120-8322 https://www.redalyc.org/articulo.oa?id=28366572007 https://www.redalyc.org/journal/283/28366572007/ https://www.redalyc.org/journal/283/28366572007/html/ https://www.redalyc.org/journal/283/28366572007/28366572007.epub https://www.redalyc.org/journal/283/28366572007/movil 10.25100/cm.v52i1.4059 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.1 Vol.52 |
| format | Artículo científico |
| id | redalyc_28366572007 |
| language | en |
| publishDate | 2021 |
| publisher | Universidad del Valle |
| spellingShingle | Retinal lipemia as expression of hyperchylomicronemia syndrome Jon Ortiz de Salido-Menchaca Medicina retina hyperlipemia chemotherapy Visual Acuity hypertriglyceridemia Retinal lipemia as expression of hyperchylomicronemia syndrome Jon Ortiz de Salido-Menchaca Manuel Antonio Tazón-Varela David de la Hera-Vegas Rosa Herreras-Martínez Sergio Andrés Álvarez-Agudelo Nuria Arencibia-Hernández Medicina retina hyperlipemia chemotherapy Visual Acuity hypertriglyceridemia Case description: Case of lipemia retinalis secondary to hyperchylomicronemia in a 40-year-old man with a history of total body irradiation and immunosuppressive treatment that was attended in this hospital due to decreased visual acuity and abdominal pain. Clinical findings: Hyperchylomicronemia caused the development of acute pancreatitis and lipemia retinalis. The latter is an infrequent ocular manifestation that reflects excessive triglyceride blood levels in the organism (>2,000 mg/dL). Lipemia retinalis is characterized by the accumulation of chylomicrons in the retinal vessels, which gives them a white and creamy appearance in direct retinal ophthalmoscopy. The initial clinical suspicion of hyperchylomicronemia was based on the visualization of the supernatant in the analytical tube. Treatment and result: In the absence of definitive biochemical results, and owing to the need for special processing of the sample, lipid-lowering treatment and serum therapy were established after ophthalmological confirmation of lipemia retinalis, with subsequent full recovery of visual acuity.Clinical relevance: Given the initial difficulty to determine the accurate triglyceride levels in this kind of patient, early visualization of milky-colored retinal vessels on a salmon-colored eye fundus can help develop an early clinical suspicion of severe hyperchylomicronemia and contribute to limit the severity of complications. 2021 otro 0120-8322 https://www.redalyc.org/articulo.oa?id=28366572007 https://www.redalyc.org/journal/283/28366572007/ https://www.redalyc.org/journal/283/28366572007/html/ https://www.redalyc.org/journal/283/28366572007/28366572007.epub https://www.redalyc.org/journal/283/28366572007/movil 10.25100/cm.v52i1.4059 en http://www.redalyc.org/revista.oa?id=283 Colombia Médica application/pdf Universidad del Valle Colombia Médica (Colombia) Num.1 Vol.52 |
| title | Retinal lipemia as expression of hyperchylomicronemia syndrome |
| topic | Medicina retina hyperlipemia chemotherapy Visual Acuity hypertriglyceridemia |
| url | https://www.redalyc.org/articulo.oa?id=28366572007 https://www.redalyc.org/journal/283/28366572007/ https://www.redalyc.org/journal/283/28366572007/html/ https://www.redalyc.org/journal/283/28366572007/28366572007.epub https://www.redalyc.org/journal/283/28366572007/movil |