Familial chylomicronemia in children: clinical cases
https://doi.org/10.21508/1027-4065-2025-70-5-91-96
Abstract
Cases of familial chylomicronemia or hyperlipoproteinemia type I, an autosomal recessive disorder associated with impaired functional activity of lipoprotein lipase, are rarely encountered in pediatric clinical practice. This disorder is characterized by hypertriglyceridemia due to elevated chylomicrons. Patients present with recurrent abdominal pain, episodes of acute pancreatitis, erosive skin xanthomas, and lipemic (“milky white”) plasma/serum. Two clinical cases of this rare disorder are presented.
About the Authors
D. I. SadykovaRussian Federation
420012, Kazan
D. R. Sabirova
Russian Federation
420012, Kazan
A. R. Shakirova
Russian Federation
420138, Kazan
R. M. Sayfullina
Russian Federation
420138, Kazan
I. V. Damotsev
Russian Federation
421001, Kazan
A. Kh. Bulatova
Russian Federation
420012, Kazan
Zh. A. Gagieva
Russian Federation
386132, Nazran
Z. R. Khabibrakhmanova
Russian Federation
420012, Kazan
E. S. Slastnikova
Russian Federation
420012, Kazan
References
1. Blom D.J., O’Dea L., Digenio A., Alexander V.J., Karwatowska-Prokopczuk E., Williams K.R., et al. Characterizing familial chylomicronemia syndrome: Baseline data of the APPROACH study. Journal of Clinical Lipidology. 2018; 12: 1234–1243. DOI: 10.1016/j.jacl.2018.05.013
2. Stroesa E., MoulinbKlaus P. Diagnostic algorithm for familial chylomicronemia syndrome. Atherosclerosis Supplements. 2017; 23: P. 1–7
3. Falko J.M. Familial Chylomicronemia Syndrome: A Clinical Guide For Endocrinologists. Endocr Pract. 2018; 24(8): 756–763. DOI: 10.4158/EP-2018-0157
4. Chyzhyk V., Brown A.S. Familial chylomicronemia syndrome: A rare but devastating autosomal recessive disorder characterized by refractory hypertriglyceridemia and recurrent pancreatitis. Trends Cardiovasc Med. 2020; 30(2): 80–85. DOI: 10.1016/j.tcm.2019.03.001
5. Valaiyapathi B., Sunil B., Ashraf A.P. Approach to Hypertriglyceridemia in the Pediatric Population. Pediatrics in Review, 2017; 38: 424 DOI: 10.1542/pir.2016-0138
6. Williams L., Rhodes K.S., Karmally W., Welstead L.A., Alexander L., Sutton L. Familial chylomicronemia syndrome: Bringing to life dietary recommendations throughout the life span. J Clin Lipidol. 2018; 12(4): 908–919. DOI: 10.1016/j.jacl.2018.04.010
7. Stroes E.S.G., Alexander V.J., Karwatowska-Prokopczuk E., Hegele R.A., Arca M., Ballantyne C.M., et al. Olezarsen, acute pancreatitis, and familial chylomicronemia syndrome. N Engl J Med. 2024; 390: 1781–1792. DOI: 10.1056/NEJ-Moa2400201
8. Watts G.F., Rosenson R.S., Hegele R.A., Goldberg I.J., Gallo A., Mertens A., et al. Plozasiran for managing persistent chylomicronemia and pancreatitis risk. N Engl J Med. 2025; 392: 127–137. DOI: 10.1056/NEJMoa2409368
9. Witztum J.L., Gaudet D., Freedman S.D., Alexander V.J., Digenio A., Williams K.R., et al. Volanesorsen and triglyceride levels in familial chylomicronemia syndrome. N Engl J Med. 2019; 381: 531–542. DOI: 10.1056/NEJMoa1715944
10. Helk O., Schreiber R., Widhalm K. Effects of two therapeutic dietary regimens on primary chylomicronemia in paediatric age: a retrospective data analysis. Eur J Clin Nutr. 2016; 70: 1127–1131. DOI: 10.1038/ejcn.2016.70
11. Marco-Benedí V., Lamiquiz-Moneo I., Álvarez-Sala L.A., Civeira F. Disappearance of recurrent pancreatitis after splenectomy in familial chylomicronemia syndrome. Atherosclerosis. 2018; 275: 342–345. DOI: 10.1016/j.atherosclerosis.2018.06.870
12. Javed F., Hegele R.A., Garg A., Patni N., Gaudet D., Williams L., et al. Familial chylomicronemia syndrome: An expert clinical review from the National Lipid Association. J Clin Lipidol. 2025; 19(3): 382–403. DOI: 10.1016/j.jacl.2025.03.013
13. Lipid metabolism disorders (diagnosis, clinical picture, disorders). Editors Galler G., Ganefel’d M., Jaross V.M., 1979; 332 s. (in Russ)
Review
For citations:
Sadykova D.I., Sabirova D.R., Shakirova A.R., Sayfullina R.M., Damotsev I.V., Bulatova A.Kh., Gagieva Zh.A., Khabibrakhmanova Z.R., Slastnikova E.S. Familial chylomicronemia in children: clinical cases. Rossiyskiy Vestnik Perinatologii i Pediatrii (Russian Bulletin of Perinatology and Pediatrics). 2025;70(5):91-96. (In Russ.) https://doi.org/10.21508/1027-4065-2025-70-5-91-96





































