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Ginecología y obstetricia de México
versión impresa ISSN 0300-9041
Resumen
BURGOS-LUNA, Juan Manuel; CORTES-CASTILLO, Valeria; FERNANDEZ-PEREZ, Paula Andrea y ESCOBAR-VIDARTE, María Fernanda. Severe familial hypertriglyceridemia: management with plasmapheresis. Case report and literature review. Ginecol. obstet. Méx. [online]. 2018, vol.86, n.11, pp.744-748. Epub 02-Oct-2020. ISSN 0300-9041. https://doi.org/10.24245/gom.v86i11.2185.
BACKGROUND:
Adaptive changes occur in pregnancy, secondary to hormonal variations, one of which is alterations in the level of plasma lipids that aims to ensure adequate nutrition to the fetus. However, sometimes triglycerides reach such high levels that they could compromise maternal health.
CLINICAL CASE:
The case of a female patient with a history of familial hypertriglyceridemia, exacerbated by the physiological processes of pregnancy, is presented. It was managed intrahospitalary, followed by nutrition and endocrinology, in addition to the use of pharmacological treatment and plasmapheresis.
CONCLUSIONS:
The use of plasmapheresis was evaluated as a therapeutic measure, where it was found to be an equally effective method after 6 sessions of treatment, achieving a 70% reduction in serum levels of triglycerides, however it was not a definitive measure and it was necessary to end the pregnancy.
Palabras llave : Pregnancy; Plasmapheresis; Familial hypertriglyceridemia; Fetus; Nutritional status.