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A 1-month-old infant with chylomicronemia due to GPIHBP1 gene mutation treated by plasmapheresis

DC FieldValueLanguage
dc.contributor.author강석진-
dc.contributor.author권아름-
dc.contributor.author김현옥-
dc.contributor.author김호성-
dc.contributor.author정모경-
dc.contributor.author진주현-
dc.contributor.author채현욱-
dc.date.accessioned2018-07-20T08:16:02Z-
dc.date.available2018-07-20T08:16:02Z-
dc.date.issued2017-
dc.identifier.issn2287-1012-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/161029-
dc.description.abstractChylomicronemia is a severe type of hypertriglyceridemia characterized by chylomicron accumulation that arises from a genetic defect in intravascular lipolysis. It requires urgent and proper management, because serious cases can be accompanied by pancreatic necrosis or persistent multiple organ failure. We present the case of a 1-month-old infant with chylomicronemia treated by plasmapheresis. His chylomicronemia was discovered incidentally when lactescent plasma was noticed during routine blood sampling during a hospital admission for fever and irritability. Laboratory investigation revealed marked triglyceridemia (>5,000 mg/dL) with high chylomicron levels. We therefore decided to perform a therapeutic plasmapheresis to prevent acute pancreatitis. Sequence analysis revealed a homozygous novel mutation in exon 4 of GPIHBP1: c.476delG (p.Gly159Alafs). Glycosylphosphatidylinositol-anchored high density lipoprotein-binding protein 1 (GPIHBP1) stabilizes the binding of chylomicrons near lipoprotein lipase and supports lipolysis. Mutations of GPIHBP1, the most recently discovered gene, can lead to severe hyperlipidemia and are known to make up only 2% of the monogenic mutations associated with chylomicronemia. The patient maintains mild hypertriglyceridemia without rebound after single plasmapheresis and maintenance fibrate medication so far. Here, we report an infant with chylomicronemia due to GPIHBP1 mutation, successfully treated by plasmapheresis.-
dc.description.statementOfResponsibilityopen-
dc.languageEnglish-
dc.publisherKorean Society of Pediatric Endocrinology-
dc.relation.isPartOfAnnals of Pediatric Endocrinology & Metabolism-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleA 1-month-old infant with chylomicronemia due to GPIHBP1 gene mutation treated by plasmapheresis-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Pediatrics-
dc.contributor.googleauthorMo Kyung Jung-
dc.contributor.googleauthorJuhyun Jin-
dc.contributor.googleauthorHyun Ok Kim-
dc.contributor.googleauthorAhreum Kwon-
dc.contributor.googleauthorHyun Wook Chae-
dc.contributor.googleauthorSeok Jin Kang-
dc.contributor.googleauthorDuk Hee Kim-
dc.contributor.googleauthorHo-Seong Kim-
dc.identifier.doi10.6065/apem.2017.22.1.68-
dc.contributor.localIdA05291-
dc.contributor.localIdA00228-
dc.contributor.localIdA01122-
dc.contributor.localIdA01184-
dc.contributor.localIdA03599-
dc.contributor.localIdA05188-
dc.contributor.localIdA04026-
dc.relation.journalcodeJ00175-
dc.identifier.eissn2287-1292-
dc.identifier.pmid28443263-
dc.subject.keywordChylomicronemia-
dc.subject.keywordGPIHBP1-
dc.subject.keywordPlasmapheresis-
dc.contributor.alternativeNameKang, Seok Jin-
dc.contributor.alternativeNameKwon, Ah Reum-
dc.contributor.alternativeNameKim, Hyun Ok-
dc.contributor.alternativeNameKim, Ho Seong-
dc.contributor.alternativeNameJung, Mo Kyung-
dc.contributor.alternativeNameJin, Ju Hyun-
dc.contributor.alternativeNameChae, Hyun Wook-
dc.contributor.affiliatedAuthorKang, Seok Jin-
dc.contributor.affiliatedAuthorKwon, Ah Reum-
dc.contributor.affiliatedAuthorKim, Hyun Ok-
dc.contributor.affiliatedAuthorKim, Ho Seong-
dc.contributor.affiliatedAuthorJung, Mo Kyung-
dc.contributor.affiliatedAuthorJin, Ju Hyun-
dc.contributor.affiliatedAuthorChae, Hyun Wook-
dc.citation.volume22-
dc.citation.number1-
dc.citation.startPage68-
dc.citation.endPage71-
dc.identifier.bibliographicCitationAnnals of Pediatric Endocrinology & Metabolism, Vol.22(1) : 68-71, 2017-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Laboratory Medicine (진단검사의학교실) > 1. Journal Papers

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