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Treatment by Plasma Exchange of a Patient with Hyperlipidemia and Diabetic Ketoacidosis with Lesional Pulmonary Edema and Acute Pancreatitis
Author(s) -
Gérard A.,
Schooneman F.,
Guine J.M.,
Roche G.,
Canton P.,
Dureux J.B.,
Janot C.,
Streiff F.
Publication year - 1982
Publication title -
vox sanguinis
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.68
H-Index - 83
eISSN - 1423-0410
pISSN - 0042-9007
DOI - 10.1111/j.1423-0410.1982.tb00006.x
Subject(s) - diabetic ketoacidosis , medicine , hypertriglyceridemia , pancreatitis , ketoacidosis , acute pancreatitis , hyperlipidemia , diabetes mellitus , pulmonary edema , diabetic coma , coma (optics) , edema , pediatrics , gastroenterology , surgery , endocrinology , triglyceride , lung , type 1 diabetes , cholesterol , physics , optics
The authors report a case of severe hypertriglyceridemia (148.5 mmol/l) in a 27‐year‐old woman admitted for coma of unknown origin. Initial investigations revealed ketoacidosis, pancreatitis and noncardiogenic pulmonary edema. The diabetes was unknown. Ketoacidosis was rapidly controlled. The hypertriglyceridemia was corrected by one course of plasma exchange (4,400 ml) during which the patient returned to consciousness. The patient recovered without any sequelae. Only 2 similar cases, treated by plasma exchange, have been reported in the literature until now.