A CASE OF SEVERE HYPERTRIGLYCERIDEMIA WITH LIPAEMIA RETINALIS IN TYPE 2 DIABETES

R. Anil Kumar* and R. B. Dinesh

ABSTRACT

We present a rare case of a 39-year-old male type 2 diabetes with very severe hypertriglyceridemia (HTG) having a total triglyceride (TG) of > 6,000 mg/dL in the absence of pancreatitis. Informed consent was taken. He was not an alcoholic. Based on literature review, this is one of the highest recorded TG counts in an adult without evidence of pancreatitis. HTG is a common occurrence in clinical practice, but rarely do numbers exceed 2000 mg/dl. It is crucial to evaluate and rapidly lower TG levels to prevent potentially life-threatening complications such as severe pancreatitis. Removal of potential predisposing medications, control of underlying diseases known to cause HTG, and maintenance therapies are essential to prevent reoccurrence.

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