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001-es BibID:BIBFORM077799
Első szerző:Zsíros Noémi (belgyógyász)
Cím:Successful plasmapheresis treatment of severe hypertriglyceridemia during late pregnancy / Noémi Zsíros, Beáta Kovács, György Paragh, József Balla, Mariann Harangi
Dátum:2019
Megjegyzések:During pregnancy, physiologic hormonal changes provoke a significant increase in triglyceride levels. Genetic abnormalities of triglyceride metabolism and secondary factors may multiply the risk of severe lipid abnormalities. Although severe gestational hypertriglyceridemia can be a life-threatening condition for both mother and fetus, its optimal treatment has not been fully clarified. A 33-year-old woman at 37 weeks of her second pregnancy was admitted to our clinic. Her triglyceride level was 57.8 mmol/L. Abdominal pain, nausea, vomiting or any other complaints were not reported. She kept a fat-restricted diet, however her triglyceride level remained 41 mmol/L. Therefore we decided to perform plasmapheresis with a replacement of human albumin as a colloidal solution. Complications did not occur during the treatment. Plasmapheresis reduced her triglyceride level by 54.1% (to 18.8 mmol/L), and the patient delivered a healthy female neonate at 40 weeks. In case of significantly increased values, plasmapheresis is a fast, effective and safe method for decreasing triglyceride level even in the third trimester.
Tárgyszavak:Orvostudományok Klinikai orvostudományok esettanulmány
folyóiratcikk
Hypertriglyceridemia
pregnancy
plasmapheresis
Megjelenés:Vessel Plus. - 3 : 6 (2019), p. 1-6. -
További szerzők:Kovács Beáta (1989-) (belgyógyász) Paragh György (1953-) (belgyógyász) Balla József (1959-) (belgyógyász, nephrológus) Harangi Mariann (1974-) (belgyógyász, endokrinológus)
Pályázati támogatás:GINOP-2.3.2-15-2016-00005
GINOP
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