Lipids Clinical Correlations Flashcards
Enumerate medicines that may raise TGs
Tamoxifen
Steroids
Beta-blockers
Diuretics
Estrogen
Birth control
Causes of high TGs
Obesity
Poorly controlled diabetes
Hypothyroidism
Kidney disease
Regularly eating more calories than you burn
How does kidney disease affect triglycerides?
Impaired renal function can lead to decreased clearance of Triglyceride from bloodstream. Possible hormonal influences like insulin resistance can lead to decreased activity of LPL.
Deficiency of beta-glucocerebrosidase
Macrophages look like crumpled paper “chicken scratch”
Gaucher’s disease
Sphingomyelinase deficiency
Presence of FOAM CELLS
Neimann Pick Disease
Hexosaminidase A deficiency
GM 2 ganglioside accumulation
Lysosomes with ONION SKIN
Tay-Sachs Disease
Alpha-galactosidase A deficiency
Fabry Disease
Beta-galactocerebrosidase deficiency that causes OPTIC ATROPHY and GLOBOID CELLS
Krabbe’s Disease
L-Iduronidase Deficiency
Hurler’s Syndrome
Iduronate Sulfatase Deficiency
Hunter’s disease
Caused by LOW CIRCULATING APO B LEVELS
CM, VLDL, and LDL are absent in the plasma
Presented with Fat Malabsorption, Severe hypolipidemia, and retinitis pigmentosa
Abetalipoproteinemia (Bassen-Kornzweig Syndrome)
Characterized by LOW or UNDETECTABLE HDL in plasm
Tangier’s disease
Independent Risk Factors
Triglycerides
HDL-C (for CHD)
Saturated Fatty Acids (for Atherosclerosis)
Deficiency of Apo E-III
Beta-dyslipoproteinemia
Excess insulin
Familial endogenous hypotriglyceridemia