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In reply: Eruptive xanthoma

In Reply: In our article, we described a patient who presented with markedly elevated triglyceride and hemoglobin A1c. Hypertriglyceridemia might be secondary to underlying diseases, including uncontrolled diabetes, or to inherited lipid disorders. In the optimal situation, our patient would have benefited most not only from strict control of his triglycerides and diabetes, but also from testing for inherited lipid disorders. Although insulin was initiated, he refused fibrates and genetic counseling, and he refused to be reassessed later. After 1 and 3 months, his clinical and laboratory findings had improved dramatically, deterring us from further intervention.

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Mahmoud Abdelghany, MD
Conemaugh Memorial Medical Center, Johnstown, PA

Samuel Massoud, MD
Conemaugh Memorial Medical Center, Johnstown, PA

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Cleveland Clinic Journal of Medicine - 82(8)
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473
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eruptive zanthoma, triglycerides, hypertriglyceridemia, Mahmoud Abdelghany, Samuel Massoud, Alyson Myers
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Mahmoud Abdelghany, MD
Conemaugh Memorial Medical Center, Johnstown, PA

Samuel Massoud, MD
Conemaugh Memorial Medical Center, Johnstown, PA

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Mahmoud Abdelghany, MD
Conemaugh Memorial Medical Center, Johnstown, PA

Samuel Massoud, MD
Conemaugh Memorial Medical Center, Johnstown, PA

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In Reply: In our article, we described a patient who presented with markedly elevated triglyceride and hemoglobin A1c. Hypertriglyceridemia might be secondary to underlying diseases, including uncontrolled diabetes, or to inherited lipid disorders. In the optimal situation, our patient would have benefited most not only from strict control of his triglycerides and diabetes, but also from testing for inherited lipid disorders. Although insulin was initiated, he refused fibrates and genetic counseling, and he refused to be reassessed later. After 1 and 3 months, his clinical and laboratory findings had improved dramatically, deterring us from further intervention.

In Reply: In our article, we described a patient who presented with markedly elevated triglyceride and hemoglobin A1c. Hypertriglyceridemia might be secondary to underlying diseases, including uncontrolled diabetes, or to inherited lipid disorders. In the optimal situation, our patient would have benefited most not only from strict control of his triglycerides and diabetes, but also from testing for inherited lipid disorders. Although insulin was initiated, he refused fibrates and genetic counseling, and he refused to be reassessed later. After 1 and 3 months, his clinical and laboratory findings had improved dramatically, deterring us from further intervention.

Issue
Cleveland Clinic Journal of Medicine - 82(8)
Issue
Cleveland Clinic Journal of Medicine - 82(8)
Page Number
473
Page Number
473
Publications
Publications
Topics
Article Type
Display Headline
In reply: Eruptive xanthoma
Display Headline
In reply: Eruptive xanthoma
Legacy Keywords
eruptive zanthoma, triglycerides, hypertriglyceridemia, Mahmoud Abdelghany, Samuel Massoud, Alyson Myers
Legacy Keywords
eruptive zanthoma, triglycerides, hypertriglyceridemia, Mahmoud Abdelghany, Samuel Massoud, Alyson Myers
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