Abstract
Chylomicronemia is present when triglyceride levels exceed 1000 mg/dL. Chylomicronemia,
when accompanied by eruptive xanthoma, lipemia retinalis, or abdominal symptoms, is
referred to as the “chylomicronemia syndrome” and can cause acute pancreatitis. Treatment
aimed at reducing triglyceride levels includes lifestyle modifications to promote
weight loss with diet and physical activity coupled with medications, including fibrates,
n-3 polyunsaturated fatty acids, and nicotinic acid. Chylomicronemic patients with
acute pancreatitis require insulinization in an inpatient setting to abolish chylomicronemia.
Keywords
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© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
