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. 2018 May 25;5(5):000853.
doi: 10.12890/2018_000853. eCollection 2018.

Plasma Exchange for the Treatment of Transient Extreme Hypertriglyceridemia Associated with Diabetic Ketoacidosis and Acute Pancreatitis

Davide Donelli  1 , Lorenzo Morini  1 , Chiara Trenti  1 , Rosaria Santi  1 , Dimitriy Arioli  2 , Emanuele Alberto Negri  1
Affiliations

Plasma Exchange for the Treatment of Transient Extreme Hypertriglyceridemia Associated with Diabetic Ketoacidosis and Acute Pancreatitis

Davide Donelli et al. Eur J Case Rep Intern Med. .

Abstract

Diabetic ketoacidosis (DKA) can quite frequently present in association with acute pancreatitis (AP) caused by transient severe hypertriglyceridemia (HTG). Here we report the case of a patient presenting with DKA, severe HTG and AP who received urgent plasma exchange for HTG control, and who reached adequate serum triglyceride levels only after appropriate DKA management. The treatment of patients presenting with DKA and coexistent AP associated with severe HTG should focus first on appropriate DKA management. Plasma exchange as a treatment for severe HTG in patients with DKA and AP should be evaluated carefully.

Learning points: The treatment of patients presenting with diabetic ketoacidosis, acute pancreatitis and severe hypertriglyceridemia should focus first on diabetic ketoacidosis management.Plasma exchange as a treatment for severe hypertriglyceridemia in patients with diabetic ketoacidosis and acute pancreatitis should be evaluated carefully.Triglyceride concentrations should always be measured in case of diabetic ketoacidosis.

Keywords: Diabetic ketoacidosis; acute pancreatitis; hypertriglyceridemia; plasma exchange.

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Conflict of interest statement

Conflicts of Interests: The Authors declare that there are no competing interests.

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