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Lipid Metabolic Disorder with Varied Clinical Manifestations

Published:October 13, 2021DOI:https://doi.org/10.1016/j.amjmed.2021.09.011
      A 39-year-old male with type 2 diabetes visited the Ophthalmology Department with blurred vision in both eyes for the past 10 days. Eventually, we assumed that diabetes-associated refractive changes were responsible for the patient's visual disturbance. However, all visible retinal arteries and veins appeared unusually creamy white (Figure 1). He reported self-injecting himself with insulin 2 days before his symptoms appeared, as prescribed by his family doctor, in addition to taking oral hypoglycemic agents. He also took carvedilol (a beta-blocker) for hypertension. Moreover, he reported rashes on his neck and both arms a day after he started taking carvedilol.
      Figure 1
      Figure 1Fundus photograph showing unusual creamy white retinal arteries and veins.
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