Hyperlipidemia, pregnancy and pancreatitis.
Hypertriglyceridemia is a recognized complication of pregnancy. In patients with familial hypertriglyceridemia, the biochemical changes are greatly enhanced during pregnancy and may be associated with acute pancreatitis, a potentially fatal triad. Three patients were studied, in one of whom previously undiagnosed hyperlipidemia resulted in a fatal attack of fulminant acute pancreatitis. In the other two patients, this complication was avoided by close monitoring and restriction of dietary facts. A history of episodic abdominal cramps, often beginning in early childhood, or the presence of lipemic fasting plasma should alert the clinician to the presence of severe familial hypertriglyceridemia. Early diagnosis allows for the institution of relatively simple management strategies, which diminish the risk of pancreatitis.
De Chalain
T M
TM
Department of Surgery, Groote Schuur Hospital, Cape Town, South Africa.
Michell
W L
WL
Berger
G M
GM
D000208:Acute Disease; D000328:Adult; D004041:Dietary Fats / Q000008:administration & dosage; D005260:Female; D006801:Humans; D006950:Hyperlipidemia, Familial Combined / Q000150:complications / Q000175:diagnosis*; D008072:Hyperlipoproteinemia Type I / Q000150:complications / Q000175:diagnosis*; D006951:Hyperlipoproteinemias / Q000175:diagnosis*; D015228:Hypertriglyceridemia / Q000150:complications / Q000175:diagnosis*; D007231:Infant, Newborn; D008297:Male; D010195:Pancreatitis / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis*; D011251:Pregnancy Complications, Infectious / Q000175:diagnosis* / Q000209:etiology / Q000517:prevention & control
D004041:Dietary Fats