Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Atypical presentation of a middle age male with severe hypertriglyceridaemia: a case report. | Journal of Medical Case Reports BioMed Central Case report Open Access Atypical presentation of a middle age male with severe hypertriglyceridaemia a case report Ali I Albahrani 1 Jannette Usher J2 Eileen Marks2 L Ranganath2 and Alan Shenkin2 Address Department of Clinical Biochemistry St Mary s Hospital Newport Isle of Wight PO30 5TG UK and 2Royal Liverpool University Hospital Duncan Building 4th floor Liverpool L69 3GA UK Email Ali I Albahrani - Jannette Usher J - Eileen Marks - L Ranganath - Alan Shenkin - Corresponding author Published 14 July 2007 Received 31 January 2007 Journal of Medical Case Reports 2007 1 51 doi 1752-1947-1-51 Accepted 14 July 2007 This article is available from http content 1 1 51 2007 Albahrani et al licensee BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License http licenses by which permits unrestricted use distribution and reproduction in any medium provided the original work is properly cited. Abstract Background Severe hypertriglyceridaemia HTG is uncommon but most prevalent in subjects with type 2 diabetes mellitus T2DM and excess ethanol intake. Case presentation We describe a case of a middle age male 53 y presenting to the emergency room with acute atypical central chest pain and severe HTG in the absence of evidence of overt ischaemic heart disease IHD . Admission ECG and EET exercise tolerance test were negative for reversible ischaemic changes. His admission glucose was mmol l triglycerides TG were 103 mmol l total cholesterol 37 mmol l. Cardiac Troponin T could not be measured on three occasions but CK MB mass was normal at 3 pg l. The patient was started on Bezafibrate 400 mg OD Simvastatin 20 mg nocte Omacor Omega-3 fish oil 1 gm bd and Metformin 500 mg tds.
