hypolipoproteinemia

{{Distinguish|Hyperlipoproteinemia}}

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Hypolipoproteinemia, hypolipidemia, or hypolipidaemia (British English) is a form of dyslipidemia that is defined by abnormally lowered levels of any or all lipids and/or lipoproteins in the blood. It occurs in genetic disorders (e.g. hypoalphalipoproteinemia, hypobetalipoproteinemia), malnutrition, malabsorption, wasting disease, cancer, hyperthyroidism, and liver disease.

Presentation

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Causes

Causes of hypolipidemia include:{{cn|date=June 2021}}

Diagnosis

It can be diagnosed via blood study that identifies fat particles. The patient must fast overnight to prevent interference from fat in the blood due to food intake. The criteria for this (without the involvement of cholesterol-lowering drugs) are total cholesterol levels below 120 mg/dL and LDL cholesterol levels under 50 mg/dL.The Merck Manual of Diagnosis of Therapy, 18th edition. 2006.

=Critical illness=

In the setting of critical illness, low cholesterol levels are predictive of clinical deterioration, and are correlated with altered cytokine levels.{{Cite journal |vauthors=Gordon BR, Parker TS, Levine DM, etal |year=2001 |title=Relationship of hypolipidemia to cytokine concentrations and outcomes in critically ill surgical patients |journal=Crit. Care Med. |volume=29 |issue=8 |pages=1563–8 |doi=10.1097/00003246-200108000-00011 |pmid=11505128}}

In humans with genetic loss-of-function variants in one copy of the ANGPTL3 gene, the serum LDL-C levels are reduced. In those with loss-of-function variants in both copies of ANGPTL3, low LDL-C, low HDL-C, and low triglycerides are seen ("familial combined hypolipidemia").{{Cite journal |display-authors=etal |vauthors=Musunuru K, Pirruccello JP, Do R, Peloso GM, Guiducci C, Sougnez C, Garimella KV, Fisher S, Abreu J |year=2010 |title=Exome Sequencing, ANGPTL3Mutations, and Familial Combined Hypolipidemia |journal=New England Journal of Medicine |volume=363 |issue=23 |pages=2220–2227 |doi=10.1056/NEJMoa1002926 |pmc=3008575 |pmid=20942659}}

Hooft disease is a rare condition evidenced by low blood lipid level, red rash and mental and physical retardation.{{cn|date=June 2021}}

Treatment

Vitamin E supplements have shown to help children with the deficiency.{{cn|date=June 2021}}

See also

{{Portal|Medicine}}

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  • {{Annotated link |ANGPTL3}}
  • {{Annotated link |Hypercholesterolemia}}
  • {{Annotated link |Primary hyperlipoproteinemia}}

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References

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