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| TEACHING IMAGES |
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| Year : 2014 | Volume
: 2
| Issue : 1 | Page : 113 |
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Lipemic serum
Chetana Shenoy, Manjunath M Shenoy
Department of Dermatology, Yenepoya Medical College, Yenepoya University, Mangalore, Karnataka
| Date of Web Publication | 4-Jun-2014 |
Correspondence Address:
Manjunath M Shenoy
Department of Dermatology, Yenepoya Medical College, Yenepoya University, Deralakatte, Mangalore - 575 018, Karnataka
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/2321-4848.133852
How to cite this article:
Shenoy C, Shenoy MM. Lipemic serum. Arch Med Health Sci 2014;2:113 |
A 19-year-old girl without any significant medical problems presented with eruptive xanthomas over the arms, elbows, shoulders, gluteal region, and thighs. Fasting blood sample taken for lipid profile; when centrifuged the serum appeared milky white [Figure 1] and triglyceride level was 1,380 mg/dl (reference range - up to 150 mg/dl). Thus, lipemic serum due to hypertriglyceridemia was confirmed. Lipemic serum refers to opaque, milky serum due to markedly increased triglyceride-rich lipoproteins of high molecular weight. [1],[2] Hypertriglyceridemia can be due to genetic defects or secondary to diabetes mellitus, high fat diet, excessive alcohol intake, and certain medications. [3] Eruptive xanthomas are the common presentation of hypertriglyceridemia [Figure 2]. This case appears to be a familial hypertriglyceridemia since her father also had xanthomas and elevated triglycerides.
| References | |  |
| 1. | Frank L, Levitt LM. Idiopathic hyperlipemia with secondary xanthomatosis; report of a case. AMA Arch Derm Syphilol 1951;64:434-6. 
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| 2. | Havel RJ, Gordon RS Jr. Idiopathic hyperlipemia: Metabolic studies in an affected family. J Clin Invest 1960;39:1777-90.
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| 3. | Pejic RN, Lee DT. Hypertriglyceridemia. J Am Board Fam Med 2006;19:310-6.
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[Figure 1], [Figure 2]
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