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An Infant with Milky Serum and a Rare Mutation

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Abstract

A 40-day-infant having milky serum, eruptive xanthomas, hepatosplenomegaly, lipemia retinalis, high cholesterol and triglyceride, was found to have lipoprotein lipase (LPL) deficiency on genetic workup. Triglyceride decreased with dietary fat restriction, medium chain triglyceride and fibrates. LPL deficiency in early infancy can be treated with pharmacological and dietary interventions.

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References

  1. Nampoothiri S, Radhakrishnan N, Schwentek A, Hoffmann MM. Lipoprotein lipase deficiency in an infant. Indian Pediatr. 2011;48:805–6.

    PubMed  Google Scholar 

  2. Brunzell JD, Miller NE, Alaupovic P, St Hilaire RJ, Wang CS, Sarson DL, et al. Familial chylomicronemia due to a circulating inhibitor of lipoprotein lipase activity. J Lipid Res. 1983;24:12–9.

    CAS  PubMed  Google Scholar 

  3. Rader DJ, Hobbs HH. Disorder of lipoprotein metabolism. In: Kasper DL, Fauci AS, Hauser SL, Longo DL, Jameson JL, Loscalzo J, editors. Harrison’s principles of internal medicine, 19th ed. New York: McGraw Hill; 2015: p. 2435–49.

    Google Scholar 

  4. Mohandas MK, Jemila J, Ajith Krishnan AS, George TT. Familial chylomicronemia syndrome. Indian J Pediatr. 2005;72:181.

    CAS  PubMed  Google Scholar 

  5. Gehrisch S. Common mutations of the lipoprotein lipase gene and their clinical significance. Curr Atheroscler Rep. 1999;1:70–8.

    Article  CAS  Google Scholar 

  6. Chourasiya OS, Kumar L, Sethi RS. An infant with milky blood; An unusual but treatable cause of familial hyperlipidemia. Ind J Clin Biochem. 2013;28:206’9.

    Google Scholar 

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Funding

Funding: None

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Authors and Affiliations

Authors

Contributions

Contributors: JRB,SP: diagnosed and worked up the case; JRB,MKJ: prepared the manuscript.

Corresponding author

Correspondence to Jyoti Ranjan Behera.

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Competing Interest: None stated.

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Behera, J.R., Pattanaik, S. & Jain, M.K. An Infant with Milky Serum and a Rare Mutation. Indian Pediatr 57, 73–74 (2020). https://doi.org/10.1007/s13312-020-1711-3

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  • DOI: https://doi.org/10.1007/s13312-020-1711-3

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