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Lipemia Retinalis in a Patient with Type 2 Diabetes: A Case Report

第二型糖尿病患者之脂血性視網膜:個案報告

摘要


Lipemia retinalis is a rare retinal finding of hypertriglyceridemia. We report a case of secondary hyperlipoproteinemia in a 24-year-old patient with type 2 diabetes who presented with excessive thirst, polyuria and an extremely high serum triglyceride level (9,100 mg/dL). The hypertriglyceridemia was improved after intensive insulin therapy and lipid-lowering agents. This case is a reminder of the need for clinical awareness of severe hypertriglyceridemia, a life threatening metabolic disorder, in patients with poor glycemic control.

並列摘要


脂血性視網膜是一種罕見的視網膜表徵,主要發生於高三酸甘油酯血症。本篇個案報告發表一名24歲第二型糖尿病病患合併有次發性高脂蛋白血症,病患血清三酸甘油酯高達9,100 mg/dL,同時眼底檢查發現有脂血性視網膜。經過密集的胰島素治療及降血脂藥物控制,兩週後血清三酸甘油酯降至500 mg/dL以下,且脂血性視網膜的表現伴隨血中三酸甘油酯的下降而消失。

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