Background: Plasmapheresis is necessary to treat some cases of severe hypertriglyceridemia.
Objective: To describe successful treatment of severe hypertriglyceridemia in a patient for whom plasmapheresis was not possible.
Case Report: A 39-year-old man came to the emergency department with nausea, vomiting, malaise, headache, and slowly deteriorating alertness. He had diabetes mellitus of an unknown type and a history of cholelithiasis and cholecystitis. He had been prescribed daily doses of sitagliptin, 100 mg; dapagliflozin, 10 mg; and pantoprazole, 40 mg, but he was taking these drugs intermittently. Two days earlier, he saw an outpatient physician for nausea, vomiting, unwanted weight loss, ...
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Author, Article and Disclosure Information
University Hospital of Cologne, Cologne, Germany (P.K., P.J.B., M.H., M.K.)
Note: The patient gave written informed consent for his case report to appear in publications in any medium worldwide.
Disclosures: Disclosures can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L18-0706.
This article was published at Annals.org on 26 February 2019.
* Drs. Koehler and Bröckelmann contributed equally to this report.
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