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Lipoprotein Lipase Deficiency.

Shwetha Kuthiroly1, Dhanya Yesodharan1, Natasha Radhakrishnan2

  • 1Department of Pediatric Genetics, Amrita Institute of Medical Sciences & Research Centre, Aims Ponekkara PO, Cochin, Kerala, 682041, India.

Indian Journal of Pediatrics
|May 31, 2020
PubMed
Summary
This summary is machine-generated.

Lipoprotein Lipase (LPL) deficiency in children presents with severe hypertriglyceridemia. A fat-restricted diet significantly improves lipid profiles and prevents pancreatitis, aiding in LPL deficiency management.

Keywords:
DietLipemia retinalisLipemic plasmaLipoprotein lipase deficiencyPancreatitis

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Area of Science:

  • Biochemistry
  • Genetics
  • Pediatrics

Background:

  • Lipoprotein Lipase (LPL) deficiency is a rare genetic disorder characterized by severe hypertriglyceridemia.
  • Clinical manifestations include hepatosplenomegaly, lipemia retinalis, and potential for pancreatitis and chylothorax.
  • Early diagnosis and management are crucial to prevent severe complications.

Purpose of the Study:

  • To analyze the clinical and molecular spectrum of LPL deficiency.
  • To evaluate the effectiveness of a cost-effective indigenous diet in managing LPL deficiency.

Main Methods:

  • A single-center retrospective study of 15 patients from 14 kindreds with severe hypertriglyceridemia (>1000 mg/dl).
  • Patients were evaluated over 12.5 years, including clinical assessment, genetic screening, and dietary intervention.
  • Dietary modification involved a stringent fat-restricted diet.

Main Results:

  • Common clinical findings included hepatomegaly, splenomegaly, and lipemia retinalis.
  • A fat-restricted diet led to dramatic improvement in fasting lipid profiles in 14 out of 15 compliant patients.
  • Genetic screening identified six different variants, including two novel ones.

Conclusions:

  • Lipemic serum, chylothorax, and recurrent pancreatitis in children warrant suspicion for LPL deficiency.
  • Early diagnosis and prompt initiation of a stringent fat-restricted diet are key for successful management and pancreatitis prevention.