Presentation
Presentation in infancy In general, patients with type 1 Gaucher disease who present in childhood tend to have more pronounced visceral and bony disease manifestations than those who present in adulthood. [10] Patients with type 1 Gaucher disease can [emedicine.medscape.com]
They may present with their various sequelae which include: Classification Currently there is no satisfactory comprehensive classification of lipoprotein disorders. [clinicalgate.com]
The presentation also includes MNT conclusions from other EAL systematic reviews on various health conditions. Ideal for you to use in meetings, in-service presentations and classrooms. This presentation is not designed for the consumer. [adaevidencelibrary.com]
Although there are some visible symptoms of these disorders they are not always present and may only present when the illness is severe and difficult to control. [renaissancemedicalcare.com]
The opinions expressed in this publication are those of the presenters and do not necessarily reflect the opinions or recommendations of their affiliated institutions, the publisher, or Genentech. [delmedgroup.com]
Entire Body System
- Pain
Symptomatic treatment consists of painkillers to help relieve pain and fever or anticonvulsants. MCAD Deficiency is one of the most common inherited disorders of lipid metabolism. [xpertdox.com]
Familial hyperchylomicronaemia, which presents with recurrent abdominal pain and pancreatitis, may result from genetic mutations of the lipoprotein lipase or apo C-II genes. [clinicalgate.com]
Some patients suffer from excessive pain in the joints. e. Corneal opacities and vascular dilatation are frequent. Errors in Lipid Metabolism: Disease # 5. [biologydiscussion.com]
[…] through manufacturing cholesterol and lipid layers of membranes, are involved in making prostaglandins (hormones that are made at the site of a problem to trigger healing) and their relatives that mediate inflammation, clotting of blood, fever, and pain [renaissancemedicalcare.com]
Medicine Today December 2007 2007; 8(12): 25-33 Treatment resistant dyslipidaemia: managing patients who respond poorly to lipid monotherapy David Sullivan Clinical case review Medicine Today June 2007 2007; 8(6): 61 A 65-year-old on statins with muscle pain [medicinetoday.com.au]
- Weight Loss
Poor digestion of essential fat may lead to weight loss and malnutrition. [livestrong.com]
FI: 2,331 Q3 • Mateo-Gallego R;Perez-Calahorra S;Cofan M;Baila-Rueda L;Cenarro A;Ros E;Puzo J;Civeira F; Serum lipid responses to weight loss differ between overweight adults with familial hypercholesterolemia and those with familial combined hyperlipidemia [iacs.es]
- Swelling
The few reported cases of Farber disease describe the presence of irritability, hoarse cry, and nodular, erythematous swelling of the wrists during the first few weeks of life, with severe motor and mental retardation and death by 2 years of age. [emedicine.medscape.com]
Gastrointestinal
- Steatorrhea
It is characterized by hepatomegaly, splenomegaly, hardening of adrenal glands and steatorrhea (fatty diarrhea). Cerebrotendinous xanthomatosis occurs when cholestanol accumulates in body tissues. [xpertdox.com]
One of the tell-tale signs of fat malabsorption is steatorrhea, which is fatty stool that is foul-smelling, pale and greasy. The malabsorption also causes gas and bloating and sometimes diarrhea, too. [livestrong.com]
On having no beta-lipoprotein: a syndrome comprising a-beta-lipoproteinaemia, acanthocytosis, and steatorrhea. Lancet, 2 : 325 – 329. Siakotos, A.N., Watanabe, I., Saito, A., Fleischer, S. 1970. [cambridge.org]
- Diarrhea
It is characterized by hepatomegaly, splenomegaly, hardening of adrenal glands and steatorrhea (fatty diarrhea). Cerebrotendinous xanthomatosis occurs when cholestanol accumulates in body tissues. [xpertdox.com]
The malabsorption also causes gas and bloating and sometimes diarrhea, too. Even though you may have been losing weight, the change in bowel movements is usually what prompts a visit to the doctor. [livestrong.com]
Glucose galactose malabsorption This is a defect in the transport of glucose and galactose across the stomach lining which leads to severe diarrhea and dehydration. Symptoms are controlled by removing lactose, sucrose, and glucose from the diet. [healthline.com]
- Vomiting
Clinical features become apparent in the first week of life and include failure to thrive, relentless vomiting, abdominal distention, and hepatosplenomegaly. Multiple sulfatase deficiency is typically diagnosed in infancy and childhood. [emedicine.medscape.com]
- Failure to Thrive
Clinical features become apparent in the first week of life and include failure to thrive, relentless vomiting, abdominal distention, and hepatosplenomegaly. Multiple sulfatase deficiency is typically diagnosed in infancy and childhood. [emedicine.medscape.com]
Cardiovascular
- Heart Disease
Familial hypercholesterolaemia (FH), which may present with xanthelasma ( Fig 67.1 ), tendon xanthomas, severe hypercholesterolaemia and premature coronary heart disease, may be due to any of over 500 different mutations of the LDL receptor gene. [clinicalgate.com]
Lipid Disorders: What You Need to Know Cardiovascular disease is caused by atherosclerosis and is particularly sensitive to lipid levels. Cholesterol screenings look at the fats in blood and help identify those at risk of heart disease. [hopkinsmedicine.org]
Your recognised location is United States (US) Coronary heart disease This article is freely available only to users in the UK. Your recognised location is United States (US) Melanoma This article is freely available only to users in the UK. [evidence.nhs.uk]
Utermann G (1987) Apolipoprotein E polymorphism in health and disease. American Heart Journal 113: 433–440. [els.net]
disease and stroke Our endocrinologists can put you on a treatment plan that will help manage your cholesterol levels and prevent or lower your risk of heart attack and stroke. [utswmedicine.org]
- Hypertension
Patients with diabetes, hypertension, a poorly functioning thyroid, and abdominal obesity benefit from UT Southwestern’s lipid assessments, drug therapies, nutritional advice, and exercise recommendations. [utswmedicine.org]
Recruiting Male & Female 35 Years + Arterial Hypertension Clinical Trial NCT03047538 - Phase 4 - Interventional The aim of this study is to compare the effect of fixed and free combination of atorvastatin/perindopril/amlodipine on blood pressure and lipid [patientwing.com]
Type 2 Diabetic Patients Unknown status NCT00758927 Phase 4 Omega-3 acid 4 grams per day;Placebo control 20 Japanese Primary Prevention Project With Aspirin Unknown status NCT00225849 Phase 4 Aspirin 21 Fish Oil Supplementation and Vascular Function in Hypertensive [malacards.org]
Dildy, MS, RD,LD, CNSD, Hypertension Chris Biesemeier, MS, RD, LD, FADA, LDN, Adult Weight Management Jo Ann S. [adaevidencelibrary.com]
Skin
- Dermatitis
Your recognised location is United States (US) Seborrhoeic dermatitis This article is freely available only to users in the UK. [evidence.nhs.uk]
Workup
Serum
- Hypercholesterolemia
A Abetalipoproteinemia Apolipoprotein B deficiency C Chylomicron retention disease F Familial dysbetalipoproteinemia Familial hypercholesterolemia Familial hypertriglyceridemia Inborn error of lipid metabolism H Hypercholesterolemia Hypertriglyceridemia [en.wikipedia.org]
The types of lipid disorder that cause the most illness, disability and death are LDL-hypercholesterolemia, hypertriglyceridemia, mixed hyperlipidemia, and low HDL cholesterol concentration. [renaissancemedicalcare.com]
Treatment of polygenic hypercholesterolemia is identical to that of other forms of hypercholesterolemia. [thoracickey.com]
Soutar AK and Naoumova RP (2007) Mechanisms of disease: genetic causes of familial hypercholesterolemia. Nature Clinical Practice. Cardiovascular Medicine 4: 214–225. [els.net]
Wilson,, M.D., FNLA SCREENING AND GUIDELINES 29 Guidelines for Screening, Prevention, Diagnosis, and Treatment of Dyslipidemia in Children and Adolescents Stephen Daniels 30 Lipid Screening in Youth Justin Zachariah HYPERCHOLESTEROLEMIA 31 Familial Hypercholesterolemia [endotext.org]
Treatment
Treatment requires supplementation with pancreatitic enzymes and a low-fat diet. [livestrong.com]
Evaluate Safety (Based on Atorvastatin Treatment) in Unknown status NCT02098460 Phase 4 Atorvastatin, Probucol, Cilostazol 7 Probiotic BIO-25 as a Supplement to Statins for the Treatment of Hypercholesterolemia Unknown status NCT01849185 Phase 4 8 Lovaza [malacards.org]
Grimes, MD and Robert Wild, MD, MPH, PhD TREATMENT 20 Approach to the Patient with Dyslipidemia Kenneth Feingold, MD and Carl Grunfeld, MD, PhD 21 Lifestyle Changes: Effect of Diet, Exercise, Functional Food, and Obesity Treatment, on Lipids and Lipoproteins [endotext.org]
Treatment of sitosterolemia consists of reducing the intake of foods that are rich in plant fats, such as vegetable oils, and taking cholestyramine resin. [merckmanuals.com]
Prognosis
Untreated, receptor-negative patients with homozygous FH rarely survive beyond the second decade; patients with receptor-defective LDL receptor defects have a better prognosis but almost invariably develop clinically apparent atherosclerotic vascular [thoracickey.com]
Etiology
Quantifying lipoprotein a (Lp[a]) cholesterol Clinical Information Discusses physiology, pathophysiology, and general clinical aspects, as they relate to a laboratory test Lipoprotein metabolism profile analysis adds practical information about the etiology [mayomedicallaboratories.com]
A classification scheme based on the molecular etiology and pathophysiology of the lipoprotein disorders complements this system and forms the basis for this chapter. [thoracickey.com]
Epidemiology
The evidence is only epidemiological so there is a weaker case for the treatment of hypertriglyceridaemia when it occurs alone. [medassignments.com]
Lusis AJ, Attie AD and Reue K (2008) Metabolic syndrome: from epidemiology to systems biology. Nature Reviews. Genetics 9: 819–830. [els.net]
Obesity-related hypertension: epidemiology, pathophysiology, and clinical management. Am J Hypertens. 2010; 23 (11): 1170-1108. Muntner P, He J, Chen J, Fonseca V, Whelton PK. [medigraphic.com]
Pathophysiology
Recent advances in its pathophysiology and management have been made. Little has been added to the knowledge about the musculoskeletal features of hyperlipidemia in the recent literature. [journals.lww.com]
Shapiro, DO 8 Hypertriglyceridemia: Pathophysiology, Role of Genetics, Consequences, and Treatment Alan Chait, MD and Savitha Subramanian, MD 9 Rare Genetic Disorders Altering Lipoproteins Michael D. [endotext.org]
Identification of LpX Classifying hyperlipoproteinemias (lipoprotein phenotyping) Evaluating patients with abnormal lipid values (cholesterol, triglyceride, HDL, LDL) Quantifying lipoprotein a (Lp[a]) cholesterol Clinical Information Discusses physiology, pathophysiology [mayomedicallaboratories.com]
Obesity-related hypertension: epidemiology, pathophysiology, and clinical management. Am J Hypertens. 2010; 23 (11): 1170-1108. Muntner P, He J, Chen J, Fonseca V, Whelton PK. [medigraphic.com]
Yamashita S, Hirano K, Sakai N and Matsuzawa Y (2000) Molecular biology and pathophysiological aspects of plasma cholesteryl ester transfer protein. Biochimica et Biophysica Acta 1529: 257–275. [els.net]
Prevention
Preventing cardiovascular complications of diabetes We are researching multiple areas with the goal of preventing cardiovascular complications of diabetes, such as heart attack and stroke. [depts.washington.edu]
The accumulation of fatty substances can cause disorders such as Other enzyme abnormalities prevent the body from converting fats into energy normally. These abnormalities are called fatty acid oxidation disorders. [merckmanuals.com]
0% Emergent - ED Care Needed - Preventable/Avoidable - 0% Emergent - ED Care Needed - Not Preventable/Avoidable - 0% Primary diagnosis of injury 0% Primary diagnosis of mental health problems 0% Primary diagnosis of substance abuse 0% Primary diagnosis [medicbind.com]
In the pancreas, the thick mucous prevents the secretion of digestive enzymes into the intestines, leading to malabsorption of nutrients, especially fat. [livestrong.com]
HDL, or "good" cholesterol, helps to remove cholesterol from the blood, preventing the fatty buildup and formation of plaque. [hopkinsmedicine.org]