[Management of hypertriglyceridemia in children]

In Japan, hypertriglyceridemia in children is defined as the fasting serum triglyceride of more than 140mg/dL, which is the 95th percentile value of the Japanese school-aged children. The obesity-induced hypertriglyceridemia commonly appear. As the primary hypertriglyceridemia, lipoprotein lipase deficiency and familial combined hyperlipidemia (FCHL) are important. As the secondary one, diabetic dyslipidemia is of importance. Basically, children with hypertriglyceridemia are treated just by diet and exercise therapy. Only the case who is a patient with high risk of pancreatitis or with poor control of diabetes mellitus may need drug therapy. Drug therapy should be actually started with the pediatric specialist.