Hypertriglyceridemia may contribute to stroke and pancreatitis: A case report and review of the literature

Hypertriglyceridemia (HTG) is one of the most common clinical dyslipidemia. Nevertheless, stroke and acute pancreatitis co-occurrence due to hypertriglyceridemia are extremely rare. We present a case of hypertriglyceridemia-associated stroke and pancreatitis in a 39-year-old woman. The patient’s lab...

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Main Authors: Mingyu Zhang, Taoyuan Yin, Feng Xia, Suhong Xia, Wangdong Zhou, Yu Zhang, Xu Han, Kai Zhao, Lina Feng, Ruonan Dong, Dean Tian, Yan Yu, Jiazhi Liao
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-12-01
Series:Frontiers in Endocrinology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fendo.2022.960343/full
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author Mingyu Zhang
Taoyuan Yin
Feng Xia
Suhong Xia
Wangdong Zhou
Yu Zhang
Xu Han
Kai Zhao
Lina Feng
Ruonan Dong
Dean Tian
Yan Yu
Jiazhi Liao
author_facet Mingyu Zhang
Taoyuan Yin
Feng Xia
Suhong Xia
Wangdong Zhou
Yu Zhang
Xu Han
Kai Zhao
Lina Feng
Ruonan Dong
Dean Tian
Yan Yu
Jiazhi Liao
author_sort Mingyu Zhang
collection DOAJ
description Hypertriglyceridemia (HTG) is one of the most common clinical dyslipidemia. Nevertheless, stroke and acute pancreatitis co-occurrence due to hypertriglyceridemia are extremely rare. We present a case of hypertriglyceridemia-associated stroke and pancreatitis in a 39-year-old woman. The patient’s laboratory tests reported high triglyceride concentrations beyond the instrument’s detection range, and radiological examination showed typical signs of cerebral infarction and acute pancreatitis. The patient received combined blood purification therapy, intravenous thrombolysis with urokinase, and conservative treatment of pancreatitis. We discuss the clinical features, pathogenesis, diagnosis, and treatment of hypertriglyceridemic stroke and pancreatitis combined with the relevant literature. We reviewed the mechanisms by which triglycerides contribute to atherosclerosis and acute pancreatitis. We point out the superiority of combined blood purification therapy and caution physicians about the effects of prescribed drugs on blood lipids.
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spelling doaj.art-fc265876ee5447279a8bbc3a7019bb7e2022-12-22T03:45:20ZengFrontiers Media S.A.Frontiers in Endocrinology1664-23922022-12-011310.3389/fendo.2022.960343960343Hypertriglyceridemia may contribute to stroke and pancreatitis: A case report and review of the literatureMingyu Zhang0Taoyuan Yin1Feng Xia2Suhong Xia3Wangdong Zhou4Yu Zhang5Xu Han6Kai Zhao7Lina Feng8Ruonan Dong9Dean Tian10Yan Yu11Jiazhi Liao12Department of Gastroenterology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Biliary-Pancreatic Surgery, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Hepatic Surgery Center, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Gastroenterology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Gastroenterology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Gastroenterology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Gastroenterology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Gastroenterology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Gastroenterology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Gastroenterology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Gastroenterology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Gastroenterology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaDepartment of Gastroenterology, Tongji Hospital of Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, ChinaHypertriglyceridemia (HTG) is one of the most common clinical dyslipidemia. Nevertheless, stroke and acute pancreatitis co-occurrence due to hypertriglyceridemia are extremely rare. We present a case of hypertriglyceridemia-associated stroke and pancreatitis in a 39-year-old woman. The patient’s laboratory tests reported high triglyceride concentrations beyond the instrument’s detection range, and radiological examination showed typical signs of cerebral infarction and acute pancreatitis. The patient received combined blood purification therapy, intravenous thrombolysis with urokinase, and conservative treatment of pancreatitis. We discuss the clinical features, pathogenesis, diagnosis, and treatment of hypertriglyceridemic stroke and pancreatitis combined with the relevant literature. We reviewed the mechanisms by which triglycerides contribute to atherosclerosis and acute pancreatitis. We point out the superiority of combined blood purification therapy and caution physicians about the effects of prescribed drugs on blood lipids.https://www.frontiersin.org/articles/10.3389/fendo.2022.960343/fullhypertriglyceridemiastrokepancreatitismetabolic disordersblood purification
spellingShingle Mingyu Zhang
Taoyuan Yin
Feng Xia
Suhong Xia
Wangdong Zhou
Yu Zhang
Xu Han
Kai Zhao
Lina Feng
Ruonan Dong
Dean Tian
Yan Yu
Jiazhi Liao
Hypertriglyceridemia may contribute to stroke and pancreatitis: A case report and review of the literature
Frontiers in Endocrinology
hypertriglyceridemia
stroke
pancreatitis
metabolic disorders
blood purification
title Hypertriglyceridemia may contribute to stroke and pancreatitis: A case report and review of the literature
title_full Hypertriglyceridemia may contribute to stroke and pancreatitis: A case report and review of the literature
title_fullStr Hypertriglyceridemia may contribute to stroke and pancreatitis: A case report and review of the literature
title_full_unstemmed Hypertriglyceridemia may contribute to stroke and pancreatitis: A case report and review of the literature
title_short Hypertriglyceridemia may contribute to stroke and pancreatitis: A case report and review of the literature
title_sort hypertriglyceridemia may contribute to stroke and pancreatitis a case report and review of the literature
topic hypertriglyceridemia
stroke
pancreatitis
metabolic disorders
blood purification
url https://www.frontiersin.org/articles/10.3389/fendo.2022.960343/full
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