Presentation
These manifestations are variable in the time and severity of presentation [13]. [ijp.mums.ac.ir]
The index case this study focused on presented yellow-orange tonsils and hemolytic anemia and his sister presented hemolytic anemia with hepatosplenomegaly. There has been no reported case of ABCA1 mutation and GH deficiency so far. [endocrinologiapediatrica.org]
At present, no animal models of FDB have been identified or obtained through transgenesis. [ipubli.inserm.fr]
Deficiency A shortage of something necessary for health. de·fi·cien·cy ( dĕ-fish'ĕn-sē ) An insufficient quantity of some substance, or organizational activity of which the amount present is of normal quality. [medical-dictionary.thefreedictionary.com]
Hematological
- Hemophilia A
[…] the molybdenum cofactor causes deficiency of a variety of enzymes, resulting in severe neurologic abnormalities, dislocated ocular lenses, mental retardation, xanthinuria, and early death. plasma thromboplastin antecedent deficiency, PTA deficiency hemophilia [medical-dictionary.thefreedictionary.com]
Entire Body System
- Pain
The severity of abdominal pain can vary, ranging from mild to severe and, in some people, can be incapacitating. The pain may be located in the upper, central region (epigastric area) of the abdomen and can radiate to cause back pain. [rarediseases.org]
[…] fatty particles (chylomicrons) in blood and a corresponding increase of fatty substances called triglycerides The signs and symptoms associated with Familial Lipoprotein Lipase Deficiency include recurrent attacks of pancreatitis resulting in abdominal pain [dovemed.com]
The disease is usually detected in childhood based on repeated episodes of abdominal pain, recurrent attacks of pancreatitis, eruptive cutaneous xanthomatosis, and hepatosplenomegaly. [ommbid.mhmedical.com]
[…] include: [9] [11] [15] [13] Abdominal pain (may appear as colic in infancy) Loss of appetite, fatigue and irritability Nausea Pain in the muscles and bones (musculoskeletal pain) Vomiting Small yellow papules localized over the trunk, buttocks, knees [wikidoc.org]
- Falling
Abstract A 59-year-old man with severe hypertriglyceridemia and no post-heparin lipolytic activity was studied because of a marked fall in plasma triglyceride concentrations after a blood transfusion. [nejm.org]
Transfusion of normal plasma into the patient is followed by a dramatic fall in the plasma triglyceride level. Treatment involves use of a moderate fat-restricted diet throughout ... [ommbid.mhmedical.com]
The plasma concentrations of apo AI and apo B also increased, associated with a less marked fall in that of apo CIII; the apo AII and apo E concentrations were unchanged. [onlinelibrary.wiley.com]
- Asymptomatic
The female subject, identified by family screening, was asymptomatic. Hepatosplenomegaly was present in both subjects. [ncbi.nlm.nih.gov]
Heterozygotes are usually asymptomatic but have low LDL cholesterol and apo B levels. Secondary hypobetalipoproteinaemia may occur - eg, with occult malignancy, malnutrition or chronic liver disease. [patient.info]
The heterozygotes members of this family, although asymptomatic, had abnormal erythrocyte forms, which suggested that a decrease in HDL levels could also affect the physical properties of the cell membrane. [endocrinologiapediatrica.org]
[…] necessary for the development of hypertriglyceridaemic pancreatitis and these are considered to be present when the triglycerides >11.29 mmol/L, it is common in out-patient clinics to see patients with much higher concentrations who are nevertheless asymptomatic [bmcgastroenterol.biomedcentral.com]
- Inflammation
In animal models, SIRT1, via the enzymes it encodes, has been shown to have healthspan extending regulatory effects on metabolism, stress resistance, cellular survival, cellular senescence, inflammation-immune function, endothelial […] Alzheimer’s and [lmreview.com]
Also, there may be a formation of yellow skin deposits, called xanthomas, on the eyelid, hands, elbows, and knees Complications of Familial Lipoprotein Lipase Deficiency are recurrent episodes of abdominal pain due to inflammation of the pancreas, xanthomas [dovemed.com]
and Oxidative Stress in the Tear Samples of Study Subjects Table 5 Comparison of Proteins Related to Apoptosis, Immunity, Inflammation, and Oxidative Stress in the Tear Samples of Study Subjects Accession No. [iovs.arvojournals.org]
Abdominal pain in individuals with familial LPL deficiency may result from recurrent episodes of inflammation of the pancreas (pancreatitis). The pancreas is a small gland located behind the stomach. [rarediseases.org]
Gastrointestinal
- Abdominal Pain
pain, nausea, vomiting, and loss of appetite. [dovemed.com]
The disease is usually detected in childhood based on repeated episodes of abdominal pain, recurrent attacks of pancreatitis, eruptive cutaneous xanthomatosis, and hepatosplenomegaly. [ommbid.mhmedical.com]
The main symptoms are abdominal pain, pancreatitis, eruptive xanthomas and hepatosplenomegaly. The most common symptom of familial LPL deficiency is episodic abdominal pain. [rarediseases.org]
Because apoC-II deficiency results in the functional deficiency of LPL, it has very similar clinical manifestations to primary LPL deficiency and is diagnosed in children and adults on the basis of recurrent abdominal pain, attacks of pancreatitis and [cancertherapyadvisor.com]
- Loss of Appetite
Intestinal ischemia Depression, Memory loss Intellectual decline Prognosis People with this condition who follow a very low-fat diet have a good prognosis. [wikidoc.org]
Cardiovascular
- Heart Disease
Aubie Angel Springer Science & Business Media, ٠٦/١٢/٢٠١٢ - 303 من الصفحات Current interest in lipoprotein deficiency states stems from the growing realization of their importance in the etiology of premature coronary heart disease. [books.google.com]
Group A Congenital Heart Diseases (CHD) Fanconi Anemia (FA) FANCC Fanconi Anemia, Complementation Group C Congenital Heart Diseases (CHD) Fanconi Anemia (FA) FANCD2 Fanconi Anemia, Complementation Group D2 Congenital Heart Diseases (CHD) Fanconi Anemia [bcm.edu]
Keywords Apolipoprotein A-I deficiency HDL deficiency Apolipoprotein E rich HDL Coronary heart disease Risk factors for coronary heart disease Abbreviations: apo, apolipoprotein (), CETP, cholesterol ester transfer protein (), CHD, coronary heart disease [atherosclerosis-journal.com]
Lipoprotein disorders and cardiovascular disease. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier Saunders; 2018:chap 48. [ucsfbenioffchildrens.org]
Lipoprotein disorders and cardiovascular disease. In: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. Braunwald's Heart Disease: A Textbook of Cardiovascular Medicine. 11th ed. Philadelphia, PA: Elsevier; 2019:chap 48. [mountsinai.org]
Liver, Gall & Pancreas
- Hepatosplenomegaly
As a result of the hypertriglyceridemia the patients may suffer from pancreatitis, eruptive xanthomas, lipemia retinalis, and hepatosplenomegaly. Heterozygous carriers are typically normolipidemic. [link.springer.com]
The disease is usually detected in childhood based on repeated episodes of abdominal pain, recurrent attacks of pancreatitis, eruptive cutaneous xanthomatosis, and hepatosplenomegaly. [ommbid.mhmedical.com]
Other genetic diseases cause recurrent pancreatitis, and others still cause hepatosplenomegaly. [chylomicronemiasyndrome.com]
Patients with apoC-II deficiency tend not to have xanthomas or hepatosplenomegaly as often as those with LPL deficiency. [cancertherapyadvisor.com]
Skin
- Xanthoma
Types Types of xanthomas Description Location Associated condition Eruptive xanthoma Yellow papules with an erythematous border May be tender and itchy Buttocks, back, and extensor surfaces of the extremities Hypertriglyceridemia (chylomicron or VLDL) [amboss.com]
Approximately 50 percent of affected individuals develop eruptive cutaneous xanthomas, which are skin lesions make up of certain fats (lipids). Xanthomas may appear as raised, reddish-yellow bumps or nodules on the skin. [rarediseases.org]
As a result of the hypertriglyceridemia the patients may suffer from pancreatitis, eruptive xanthomas, lipemia retinalis, and hepatosplenomegaly. Heterozygous carriers are typically normolipidemic. [link.springer.com]
Also, there may be a formation of yellow skin deposits, called xanthomas, on the eyelid, hands, elbows, and knees Complications of Familial Lipoprotein Lipase Deficiency are recurrent episodes of abdominal pain due to inflammation of the pancreas, xanthomas [dovemed.com]
The familial form is characterized by tendon xanthoma, xanthelasma, and premature cardiovascular disease. The incidence of this disease is about one in 500 for heterozygotes, and one in 1,000,000 for homozygotes. [ipfs.io]
Urogenital
- Uremia
[…] neuropathy) Tabes dorsalis (posterior column deficits, Hertig's spots on the trunk) Herpes zoster (dermatomal) Herpes simplex (regional) HTLV-I (primarily small fiber) Sensory Neuropathy Associated with Systemic Disease Diabetes (burning feet syndrome) Uremia [neurodiffdx.com]
Maciejko has suggested that apo B levels are helpful in differentiating primary causes of hypertriglyceridemia, provided that secondary causes (diabetes, alcohol ingestion, uremia, acromegaly, emotional stress or stress from acute illness, and certain [labcorp.com]
Hypertriglyceridemia and lowered apolipoprotein C-II /C-III ratio in uremia : effect of a fibric acid, clinofibrate [14]. [wikigenes.org]
Neurologic
- Stroke
Eventually your arteries can become so clogged that you'll have a heart attack or stroke. Men should have their cholesterol tested by the time they're 35. Women should have it checked by age 45. [mountsinai.org]
Bhatia M, Howard SC, Clark TG, et al ; Apolipoproteins as predictors of ischaemic stroke in patients with a previous transient ischaemic attack. Cerebrovasc Dis. 200621(5-6):323-8. Epub 2006 Feb 14. [patient.info]
J Stroke Cerebrovasc Dis 2012;21(8):909.e5-6. Stenson PD., Mort M., Ball EV., Shaw K., Phillips AD., Cooper DN. [endocrinologiapediatrica.org]
[…] functional decline and tissue deterioration associated with aging.1 2 3 4 5 6 7 Age-associated changes in mitochondria are characterized […] Erectile Dysfunction as an Adverse Drug Reaction Introduction As primary prevention for a myocardial infarction or stroke [lmreview.com]
Emerging Biomarkers for Primary Prevention of Cardiovascular Disease and Stroke. The National Academy of Clinical Biochemistry Laboratory Medicine Practice Guidelines [On-line information]. [labtestsonline.it]
- Encephalopathy
1 Apolipoprotein C-II deficiency presenting as a lipid encephalopathy in infancy. 57 6 61 12783430 2003 2 A nonsense mutation in the apolipoprotein C-IIPadova gene in a patient with apolipoprotein C-II deficiency. 61 57 6 Fojo SS...Brewer HB 2477392 1989 [malacards.org]
[…] neuropathy Carbohydrate deficiency syndrome Gerstmann Straüssler syndrome (codon 102) Mitochondrial Neuropathies Leber's hereditary optic neuropathy NARP (neuropathy/ataxia/retinitis pigmentosa) Leigh's syndrome MNGIE (mitochondrial neurogastrointestinal encephalopathy [neurodiffdx.com]
Sudden Infant Death Syndrome (SIDS) SCN5A Sodium Channel, Voltage-Gated, Type V, Alpha Subunit Brugada Syndrome Long QT Syndrome Type 3 (LQT3) Idiopathic Ventricular Fibrillation SCO2 SCO2 Cytochrome C Oxidase Assembly Protein Hypertrophic Cardiomyopathy Encephalopathy [bcm.edu]
- Irritability
However, evidence suggests that presentation during infancy can be heterogeneous and may include other signs such as pallor, anemia, jaundice, irritability, and diarrhea. [ijp.mums.ac.ir]
[…] or recurrent abdominal pain with a documented high fasting plasma triglyceride concentration. [14] [11] Symptoms of Type I hyperlipoproteinemia include: [9] [11] [15] [13] Abdominal pain (may appear as colic in infancy) Loss of appetite, fatigue and irritability [wikidoc.org]
Workup
For example, a colicky infant who is failing to gain weight normally might first have a basic workup performed using blood to test for anemia, infection, and kidney and liver problems. [chylomicronemiasyndrome.com]
Fasting blood glucose level or HbA1c TSH level Liver function tests Urine analysis Further workup: required in patients with confirmed dyslipidemia Assess for cardiovascular disease (CVD). Assess for other major risk factors of CVD. [amboss.com]
Clinical Testing and Workup Blood tests can reveal reduced activity of the lipoprotein lipase enzyme in the plasma, following intravenous administration of heparin. [rarediseases.org]
Serum
- Hypercholesterolemia
Indeed hypoalphalipoproteinemia appears to be a disease of high prevalence approaching and perhaps even exceeding that of familial hypercholesterolemia. [books.google.com]
Inherited disorders of LDL-cholesterol metabolism other than familial hypercholesterolemia. In: Post TW, ed. UpToDate. [amboss.com]
2019 themedicalbiochemistrypage.org, LLC | info @ themedicalbiochemistrypage.org Apolipoprotein(a) - Lp(a) Hyperlipoproteinemia Type I Hyperlipoproteinemia Type Ib - Apolipoprotein C-II Deficiency Hyperlipoproteinemia Type Ic - Chylomicronemia Familial Hypercholesterolemia [themedicalbiochemistrypage.org]
Finally, the results of various functional and genetic studies clearly demonstrate that defects in other major genes are involved in dominant as well as in recessive familial hypercholesterolemia. [ipubli.inserm.fr]
Soutar et al., Mechanisms of disease: genetic causes of familial hypercholesterolemia. Nature Clin Pract Cardiovasc Med. 4, 214 (2007) G. [charite.de]
- Dyslipidemia
Hegele R, Ban M, Cao H, et al Targeted next-generation sequencing in monogenic dyslipidemias. Curr Opin Lipidol 2015; 26: 103-13. [ Links ] 38. Johansen CT, Dubé JB, Loyzer MN, et al. [scielo.org.ar]
Classification Pathophysiology Dyslipidemia is a major risk factor for atherosclerotic cardiovascular disease. [amboss.com]
While being investigated for sepsis the serum sample obtained for blood counts was discovered to be lipaemic and the case was subsequently investigated for dyslipidemia. [ijp.mums.ac.ir]
The condition may also at first be confused with other closely related conditions that involve altered levels of fats in the bloodstream, other dyslipidemias. An accurate diagnosis is essential for proper management of the disease. [chylomicronemiasyndrome.com]
Treatment
Treatment consists of diet and the use of lipid-lowering drugs. Heterozygotes and individuals with a fairly common promoter variant have reduced hepatic lipase activity. [ommbid.mhmedical.com]
The treatment of abetalipoproteinemia includes supplementation of vitamin E. [amboss.com]
It is not clear whether the test results improve treatment. Because of this, most health insurance companies will not pay for the test. [ucsfhealth.org]
Cleeman, “Executive summary of the third report of the National Cholesterol Education Program (NCEP) expert panel on detection, evaluation, and treatment of high blood cholesterol in adults (adult treatment panel III),” Journal of the American Medical [ijp.mums.ac.ir]
Prognosis
Intestinal ischemia Depression, Memory loss Intellectual decline Prognosis People with this condition who follow a very low-fat diet have a good prognosis. [wikidoc.org]
[…] and this can bring about a favorable outcome Please find comprehensive information on Familial Lipoprotein Lipase Deficiency regarding definition, distribution, risk factors, causes, signs & symptoms, diagnosis, complications, treatment, prevention, prognosis [dovemed.com]
Due to the clinical overlap between the acquired and hereditary forms, it is imperative to determine the specific type of amyloidosis in order to provide an accurate prognosis and consider appropriate therapeutic interventions. [mayocliniclabs.com]
A correct differential diagnosis in systemic amyloidosis is important since disease management and prognosis may be completely different depending on its origin. [revistanefrologia.com]
Apolipoproteins and Long-Term Prognosis in Coronary Heart Disease Patients. Medscape from American Heart Journal. 2009;157(1):103-110 [On-line information]. [labtestsonline.it]
Etiology
Aubie Angel Springer Science & Business Media, ٠٦/١٢/٢٠١٢ - 303 من الصفحات Current interest in lipoprotein deficiency states stems from the growing realization of their importance in the etiology of premature coronary heart disease. [books.google.com]
Tissue-based, laser capture tandem mass spectrometry might serve as a useful test preceding gene sequencing to better characterize the etiology of the amyloidosis, particularly in cases that are not clear clinically. [mayocliniclabs.com]
Etiology Acquired (more common) Obesity Diabetes mellitus Physical inactivity Heavy consumption of alcohol Hypothyroidism Nephrotic syndrome Cholestatic liver disease Cushing disease Drugs: antipsychotics, beta blockers (e.g., metoprolol), oral contraceptive [amboss.com]
Because therapeutic approaches can vary according to the underlying etiology, it is important to establish the molecular etiology of FCS. [academic.oup.com]
Familial amyloid neuropathy: Unusual etiology in clinical practice. [neurologyindia.com]
Epidemiology
Epidemiological data refers to the US, unless otherwise specified. [amboss.com]
[…] and Demographics Epidemiological and demographics of familial hyperchylomicronemia are discussed below: [4] [9] [1] Prevalence The prevalence of familial LPL deficiency is approximately one in 1,000,000 in the general US population Demographics Age 25% [wikidoc.org]
Tangier disease: epidemiology, pathophysiology and manegement. Am J Cardiovasc Drugs 2012;12:303-11. [Pubmed] [endocrinologiapediatrica.org]
Department of Biostatistics and Epidemiology, School of Public Health Tehran University of Medical Sciences Tehran Iran 4. [link.springer.com]
JPN guidelines for the management of acute pancreatitis: Epidemiology, etiology, natural history, and outcome predictors in acute pancreatitis. J Hepatobiliary Pancreat Surg 2006;13(1):10-24. Kumar J, Wierzbicki AS. Images in clinical medicine. [nanbyou.or.jp]
Pathophysiology
Classification Pathophysiology Dyslipidemia is a major risk factor for atherosclerotic cardiovascular disease. [amboss.com]
"Biochemistry and pathophysiology of intravascular and intracellular lipolysis". Genes Dev. 27 (5): 459–84. doi : 10.1101/gad.209296.112. PMC 3605461. [wikidoc.org]
Useful For Suggests clinical disorders or settings where the test may be helpful Diagnosis of individuals suspected of having apolipoprotein A-I ( APOA1 ) gene-associated familial amyloidosis Clinical Information Discusses physiology, pathophysiology, [mayocliniclabs.com]
This relationship has led to the hypothesis that these conditions share core pathophysiological mechanisms. [lmreview.com]
Pathophysiology of Triglyceride-Rich Lipoproteins in Atherothrombosis: Cellular Aspects. Clin. Cardiol. 22, (Suppl. 11) 11-7-11-14 [On-line Journal]. [labtestsonline.it]
Prevention
Rapidly find the answers you need with separate sections on diseases and disorders, differential diagnosis, clinical algorithms, laboratory results, and clinical preventive services, plus an at-a-glance format that uses cross-references, outlines, bullets [books.google.com]
Nutrition in the Prevention and Treatment of Disease, Second Edition, focuses on the clinical applications and disease prevention of nutrition. This revised edition offers 18 completely new chapters and 50% overall material updated. [books.google.ro]
Primary Prevention There are no primary preventive measures to protect against type I hyperlipoproteinemia. [wikidoc.org]
Restriction to a very low-fat diet can dramatically improve the symptoms of Familial Lipoprotein Lipase Deficiency Since it is an inherited disorder, there are no preventive measures available. [dovemed.com]
The answers to this question reveal connections […] Getting off the Alzheimer’s Disease Interstate: Part II Abstract Despite extensive efforts to identify a magic bullet to prevent the occurrence or mitigate the progression of Alzheimer’s disease (AD) [lmreview.com]