A Case Report of Familial Chylomicronemia Syndrome

Mahtab   Ordooei; Fariba  Binesh; Azam  Ashrafi; Farzad   Ferdosian; Maryam  Saeida-Ardekani

doi:10.18502/wjpn.v3i2.6160

Mahtab Ordooei Hematology and Oncology Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Fariba Binesh Infectious Diseases Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Azam Ashrafi Mother and Newborn Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Farzad Ferdosian Mother and Newborn Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran
Maryam Saeida-Ardekani Mother and Newborn Health Research Center, Shahid Sadoughi University of Medical Sciences, Yazd, Iran

DOI: https://doi.org/10.18502/wjpn.v3i2.6160

Keywords: Chylomicronemia; Hypertriglyceridemia; Hemolytic Anemia; Leukocytosis; Pancreatitis

Abstract

Background: Diagnosis of neonatal chylomicronemia, as a very rare condition, is very difficult and usually is diagnosed when acute pancreatitis sets in. Early diagnosis can prevent the complications such as acute pancreatitis and pancreatic necrosis which are associated with the condition.

Case Presentation: A 5.5 month- old female breastfed baby presented to us suffering from splenomegaly because of respiratory infection. Anemia and leukocytosis were seen in laboratory data. The result of bone marrow aspiration (BMA) performed to diagnosis was normal. Following the study, the patient had a high triglyceride, which improved with the treatment of symptoms and blood indices.

Conclusion: Our case reports a rare disorder that was initially admitted with suspicion of malignancy, organomegaly, anemia and leukocytosis. In the course of hospitalization, the diagnosis of malignancy was rejected after BMA, and chylomicronemia was diagnosed and the patient's leukocytosis and high uric acid were eliminated by treatment of the disease and the patient's symptoms were improved.