Fatty emaciation: a case report of suspected fat overload syndrome in oral refeeding.
Refeeding syndrome has been observed in patients receiving nutrition after a prolonged period of malnourishment and is characterized by multiple metabolic derangements. Besides hypophosphatemia and hypoglycemia, lipemia has been described in association with parenteral nutrition administration to the malnourished. The authors describe one anorexic patient who developed lipemia during oral refeeding, followed by a precipitous drop in hematocrit suggestive of fat overload syndrome.
Department of Medicine, Hospitalist Service, Brigham and Women's Hospital, Boston, Massachusetts 02155, USA. amacher@partners.org
Arielle D
AD
Macher
Daniel
D
Palazuelos
Saverio M
SM
Maviglia
D000284:Administration, Oral; D000856:Anorexia Nervosa / Q000150:complications / Q000503:physiopathology / Q000628:therapy; D002331:Carnitine / Q000627:therapeutic use; D004041:Dietary Fats / Q000008:administration & dosage*; D005260:Female; D006801:Humans; D006949:Hyperlipidemias / Q000209:etiology / Q000503:physiopathology; D044342:Malnutrition / Q000150:complications / Q000503:physiopathology / Q000628:therapy; D010289:Parenteral Nutrition, Total / Q000009:adverse effects; D055677:Refeeding Syndrome / Q000188:drug therapy* / Q000503:physiopathology*; D016896:Treatment Outcome; D014280:Triglycerides / Q000097:blood; D014803:Vitamin B Complex / Q000627:therapeutic use; D055815:Young Adult
D004041:Dietary Fats; D014280:Triglycerides; D014803:Vitamin B Complex; D002331:Carnitine