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.
References
Nampoothiri S, Radhakrishnan N, Schwentek A, Hoffmann MM. Lipoprotein lipase deficiency in an infant. Indian Pediatr. 2011;48:805–6.
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.
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.
Mohandas MK, Jemila J, Ajith Krishnan AS, George TT. Familial chylomicronemia syndrome. Indian J Pediatr. 2005;72:181.
Gehrisch S. Common mutations of the lipoprotein lipase gene and their clinical significance. Curr Atheroscler Rep. 1999;1:70–8.
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.
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Contributors: JRB,SP: diagnosed and worked up the case; JRB,MKJ: prepared the manuscript.
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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