High chylomicron causes: Difference between revisions
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{{Chylomicron}} | {{Chylomicron}} | ||
{{CMG}} | {{CMG}} {{AE}} {{TS}} | ||
==Overview== | ==Overview== | ||
Hyperchylomicronemia occurs more commonly as a result of decreased [[lipoprotein lipase]] enzyme activity. The causes of hyperchylomicronemia could either be [[genetic]] as in [[Hyperlipoproteinemia|type I and type V hyperlipoproteinemia]] or secondary to conditions such as [[alcoholism]], [[chronic renal failure]], [[hypothyroidism]], and [[diabetes mellitus]]. Secondary causes are more frequent than primary genetic etiologies. | |||
==Causes== | ==Causes== | ||
===Life Threatening Causes=== | ===Life Threatening Causes=== | ||
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated. | |||
Hyperchylomicronemia does not have life-threatening causes. | |||
===Common Causes=== | ===Common Causes=== | ||
*[[Alcoholism]] | |||
*[[Chronic renal failure]] | |||
*[[Diabetes mellitus]] | |||
*[[Hypothyroidism]] | |||
*[[Combined oral contraceptive pill|Oral contraceptives]] | |||
*[[Pregnancy]] | |||
*[[Thiazide|Thiazide diuretics]] | |||
===Causes by Organ System=== | ===Causes by Organ System=== | ||
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| '''Drug Side Effect''' | | '''Drug Side Effect''' | ||
|bgcolor="Beige"| [[Thiazide ]] | |bgcolor="Beige"| [[Heparin]], [[Combined oral contraceptive pill|oral contraceptives]], [[Thiazide|thiazide diuretics]] | ||
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| '''Endocrine''' | | '''Endocrine''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Diabetes mellitus]], [[hypothyroidism]] | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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| '''Genetic''' | | '''Genetic''' | ||
|bgcolor="Beige"| [[Glycogen storage disease type I]], [[lipoprotein lipase deficiency ]], [[familial hyperchylomicronemia|type 1C hyperlipoproteinemia]], [[mixed hyperlipoproteinemia ]] | |bgcolor="Beige"| [[Glycogen storage disease type I]], [[lipoprotein lipase deficiency]], [[familial hyperchylomicronemia|type 1C hyperlipoproteinemia]], [[mixed hyperlipoproteinemia ]] | ||
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| '''Overdose/Toxicity''' | | '''Overdose/Toxicity''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Alcoholism|Alcohol]] | ||
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|-bgcolor="LightSteelBlue" | |-bgcolor="LightSteelBlue" | ||
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| '''Rheumatology/Immunology/Allergy''' | | '''Rheumatology/Immunology/Allergy''' | ||
|bgcolor="Beige"| | |bgcolor="Beige"| [[Autoimmune hyperchylomicronemia ]]<ref name="Yoshimura-1998">{{Cite journal | last1 = Yoshimura | first1 = T. | last2 = Ito | first2 = M. | last3 = Sakoda | first3 = Y. | last4 = Kobori | first4 = S. | last5 = Okamura | first5 = H. | title = Rare case of autoimmune hyperchylomicronemia during pregnancy. | journal = Eur J Obstet Gynecol Reprod Biol | volume = 76 | issue = 1 | pages = 49-51 | month = Jan | year = 1998 | doi = | PMID = 9481547 }}</ref> | ||
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{{col-break|width=33%}} | {{col-break|width=33%}} | ||
*[[ | *[[Alcoholism]] | ||
* | *Autoimmune hyperchylomicronemia<ref name="Yoshimura-1998">{{Cite journal | last1 = Yoshimura | first1 = T. | last2 = Ito | first2 = M. | last3 = Sakoda | first3 = Y. | last4 = Kobori | first4 = S. | last5 = Okamura | first5 = H. | title = Rare case of autoimmune hyperchylomicronemia during pregnancy. | journal = Eur J Obstet Gynecol Reprod Biol | volume = 76 | issue = 1 | pages = 49-51 | month = Jan | year = 1998 | doi = | PMID = 9481547 }}</ref> | ||
*[[Chronic renal failure]] | *[[Chronic renal failure]] | ||
*[[Diabetes mellitus]] | *[[Diabetes mellitus]] | ||
*[[Familial hyperchylomicronemia| | *[[Familial hyperchylomicronemia|Type 1B hyperlipoproteinemia]] | ||
*[[Familial hypertriglyceridemia]] | *[[Familial hypertriglyceridemia]] | ||
*[[Glycogen storage disease type I]] | *[[Glycogen storage disease type I]] | ||
*[[Heparin ]] | *[[Heparin]] | ||
*[[Hypothyroidism]] | |||
*[[Familial hyperchylomicronemia|Lipoprotein lipase deficiency]] | *[[Familial hyperchylomicronemia|Lipoprotein lipase deficiency]] | ||
*[[Oral | *[[Combined oral contraceptive pill|Oral contraceptives]] | ||
*[[Pregnancy ]] | *[[Pregnancy]] | ||
*[[Thiazide ]] | *[[Thiazide|Thiazide diuretics]] | ||
*[[Familial hyperchylomicronemia|Type 1C hyperlipoproteinemia]] | *[[Familial hyperchylomicronemia|Type 1C hyperlipoproteinemia]] | ||
*[[Mixed hyperlipoproteinemia ]] | *[[Mixed hyperlipoproteinemia ]] | ||
{{col-end}} | {{col-end}} | ||
Latest revision as of 20:48, 5 February 2014
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Twinkle Singh, M.B.B.S. [2]
Overview
Hyperchylomicronemia occurs more commonly as a result of decreased lipoprotein lipase enzyme activity. The causes of hyperchylomicronemia could either be genetic as in type I and type V hyperlipoproteinemia or secondary to conditions such as alcoholism, chronic renal failure, hypothyroidism, and diabetes mellitus. Secondary causes are more frequent than primary genetic etiologies.
Causes
Life Threatening Causes
Life-threatening causes include conditions which may result in death or permanent disability within 24 hours if left untreated.
Hyperchylomicronemia does not have life-threatening causes.
Common Causes
- Alcoholism
- Chronic renal failure
- Diabetes mellitus
- Hypothyroidism
- Oral contraceptives
- Pregnancy
- Thiazide diuretics
Causes by Organ System
Cardiovascular | No underlying causes |
Chemical/Poisoning | No underlying causes |
Dental | No underlying causes |
Dermatologic | No underlying causes |
Drug Side Effect | Heparin, oral contraceptives, thiazide diuretics |
Ear Nose Throat | No underlying causes |
Endocrine | Diabetes mellitus, hypothyroidism |
Environmental | No underlying causes |
Gastroenterologic | No underlying causes |
Genetic | Glycogen storage disease type I, lipoprotein lipase deficiency, type 1C hyperlipoproteinemia, mixed hyperlipoproteinemia |
Hematologic | No underlying causes |
Iatrogenic | No underlying causes |
Infectious Disease | No underlying causes |
Musculoskeletal/Orthopedic | No underlying causes |
Neurologic | No underlying causes |
Nutritional/Metabolic | Familial hypertriglyceridemia, glycogen storage disease type I, lipoprotein lipase deficiency |
Obstetric/Gynecologic | Pregnancy |
Oncologic | No underlying causes |
Ophthalmologic | No underlying causes |
Overdose/Toxicity | Alcohol |
Psychiatric | No underlying causes |
Pulmonary | No underlying causes |
Renal/Electrolyte | Chronic renal failure |
Rheumatology/Immunology/Allergy | Autoimmune hyperchylomicronemia [1] |
Sexual | No underlying causes |
Trauma | No underlying causes |
Urologic | No underlying causes |
Miscellaneous | No underlying causes |