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CASE REPORT
Year : 2013  |  Volume : 2  |  Issue : 1  |  Page : 40-42

An interesting case of type IV hyperlipoproteinemia in a pregnant woman with gestational diabetes mellitus


1 Department of Biochemistry, Jagadguru Sri Shivarathreeswara Medical College, Jagadguru Sri Shivarathreeswara University, Mysore, Karnataka, India
2 Department of Obstetrics and Gynaecology, Jagadguru Sri Shivarathreeswara Medical College, Jagadguru Sri Shivarathreeswara University, Mysore, Karnataka, India

Correspondence Address:
S V Shilpa
Department of Biochemistry, Jagadguru Sri Shivarathreeswara Medical College, Jagadguru Sri Shivarathreeswara University, Mysore - 15, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2278-344X.110560

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We report here a case of asymptomatic type IV hyperlipoproteinemia (HLP) in a 28-year-old pregnant woman with gestational diabetes mellitus (GDM) in the third trimester of pregnancy that was diagnosed incidentally due to the presence of milky white serum. Her total cholesterol and triglyceride values were highly elevated, which led to the provisional diagnosis of hyperlipidemia, and, on further evaluating the patient with lipoprotein electrophoresis, a diagnosis of type IV HLP was made. Her treatment consisted of fetal monitoring and control of GDM with dietary management. She was taken up for elective caesarean section at 35 weeks to prevent any emergent conditions arising due to complications such as acute pancreatitis. On investigation, the newborn also showed increased levels of total cholesterol and triglycerides. This case report highlights the fact that type IV HLP can be asymptomatic and diagnosed incidentally. However, increased levels of triglycerides pose a definite risk factor for premature cardiovascular morbidity. Hence, once diagnosed, the patient should be managed with a prescribed diet and appropriate lipid lowering drugs.


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