Key result
A 49-year-old female presented with a total triglyceride count of >10,000 mg/dL without evidence of pancreatitis, representing one of the highest recorded levels in an adult without this complication.
Why the study?
Hypertriglyceridemia rarely exceeds 2000 mg/dl, and documented cases of extremely high triglyceride levels without pancreatitis are exceedingly rare.
Case Report (n=1)
This case demonstrates that extremely high triglyceride levels (>10,000 mg/dL) can occur without acute pancreatitis, highlighting the need for rapid evaluation and management to prevent life-threatening complications.
Extreme hypertriglyceridemia may occur without pancreatitis; this case leaves open determinants of individual risk and requires larger studies.
We present a rare case of a 49-year-old female with very severe hypertriglyceridemia (HTG) having a total triglyceride (TG) count of > 10,000 mg/dL in the absence of pancreatitis. Based on literature review, this is one of the highest recorded TG counts in an adult without evidence of pancreatitis. HTG is a common occurrence in clinical practice, but rarely do numbers exceed 2000 mg/dl. It is crucial to evaluate and rapidly lower TG levels to prevent potentially life-threatening complications such as severe pancreatitis. Removal of potential predisposing medications, control of underlying diseases known to cause HTG, and maintenance therapies are essential to prevent reoccurrence.
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Toor et al. (2019) conducted a case report in Severe hypertriglyceridemia (n=1). Very severe hypertriglyceridemia (>10,000 mg/dL) was evaluated on Pancreatitis. A 49-year-old female presented with a total triglyceride count of >10,000 mg/dL without evidence of pancreatitis, representing one of the highest recorded levels in an adult without this complication.
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