{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,1]],"date-time":"2026-08-01T15:30:53Z","timestamp":1785598253961,"version":"3.56.0"},"reference-count":14,"publisher":"Korean Society of Pediatric Endocrinology","issue":"2","license":[{"start":{"date-parts":[[2024,1,15]],"date-time":"2024-01-15T00:00:00Z","timestamp":1705276800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["e-apem.org"],"crossmark-restriction":true},"short-container-title":["Ann Pediatr Endocrinol Metab"],"published-print":{"date-parts":[[2024,4,30]]},"abstract":"<jats:p>Familial chylomicronemia syndrome (FCS) is a rare autosomal recessive disease affecting lipoprotein metabolism. FCS is estimated to occur in 1 in 1\u20132 million individuals and can be diagnosed at any age, equally affecting all genders, races, and ethnicities. The condition is characterized by hypertriglyceridemia, which may predispose patients to acute pancreatitis. In this report, we present the case of a now 6-year-old girl with FCS on gemfibrozil and dietary restrictions. The patient initially presented at 40 days of age with bloody diarrhea. Serum samples revealed lipemia, with markedly elevated triglyceride levels. The patient was diagnosed with FCS, confirmed by genetic testing showing the homozygous variant c.833C&gt;T(p,Ser278Phe) for the &lt;i&gt;LPL&lt;\/i&gt; gene. Despite being on a low-fat diet with medium chain triglyceride (MCT) based milk formulas, the patient developed acute pancreatitis 2 months later with continued elevated triglyceride levels. She was placed on gemfibrozil and fat-soluble vitamins at 2 months of age, with marked improvements subsequently noted. Currently, the patient is doing well, with normal growth parameters and no other episodes of acute pancreatitis. Her triglyceride levels have been maintained within normal levels. FCS is a rare, inherited lipid disorder that often goes underdiagnosed and unmanaged. It is worth considering the fibric acid derivative (gemfibrozil) to be one of the lines of management early on after diagnosis.<\/jats:p>","DOI":"10.6065\/apem.2346208.104","type":"journal-article","created":{"date-parts":[[2024,1,15]],"date-time":"2024-01-15T02:25:15Z","timestamp":1705285515000},"page":"130-134","update-policy":"https:\/\/doi.org\/10.6065\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["Six-year follow-up of a child with familial chylomicronemia syndrome: disease course and effectiveness of gemfibrozil treatment --case report and literature review"],"prefix":"10.6065","volume":"29","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-8821-0066","authenticated-orcid":true,"given":"Manal","family":"Mustafa","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8770-1541","authenticated-orcid":true,"given":"Mira","family":"Almheiri","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"4096","reference":[{"key":"ref1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2013.08.069"},{"key":"ref2","doi-asserted-by":"publisher","DOI":"10.1186\/s13256-020-02609-0"},{"key":"ref3","volume-title":"","author":"Burnett"},{"key":"ref4","first-page":"105","volume-title":"Severe hypertriglyceridaemia as a result of familial chylomicronaemia: the Cape Town experience","author":"Pouwels","year":"2008"},{"key":"ref5","volume-title":"","author":"Regmi"},{"key":"ref6","doi-asserted-by":"publisher","DOI":"10.1111\/joim.13016"},{"key":"ref7","doi-asserted-by":"publisher","DOI":"10.1007\/s12291-012-0285-9"},{"key":"ref8","doi-asserted-by":"publisher","DOI":"10.1007\/s12098-020-03305-z"},{"key":"ref9","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-021-02875-x"},{"key":"ref10","doi-asserted-by":"publisher","DOI":"10.1007\/bf00212035"},{"key":"ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.atherosclerosissup.2016.10.002"},{"key":"ref12","first-page":"807434","volume-title":"Two siblings with familial chylomicronemia syndrome: disease course and effectiveness of early treatment","author":"Al Azkawi","year":"2010"},{"key":"ref13","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.060963"},{"key":"ref14","first-page":"247","volume-title":"Neonatal hyperlipidemia with pancreatitis: novel gene mutation of lipoprotein lipase","author":"Shah","year":"2018"}],"container-title":["Annals of Pediatric Endocrinology &amp; Metabolism"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/e-apem.org\/upload\/pdf\/apem-2346208-104.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-apem.org\/journal\/view.php?doi=10.6065\/apem.2346208.104","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/e-apem.org\/upload\/pdf\/apem-2346208-104.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,4,29]],"date-time":"2024-04-29T02:25:33Z","timestamp":1714357533000},"score":1,"resource":{"primary":{"URL":"http:\/\/e-apem.org\/journal\/view.php?doi=10.6065\/apem.2346208.104"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,4,30]]},"references-count":14,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2024,4]]}},"URL":"https:\/\/doi.org\/10.6065\/apem.2346208.104","relation":{},"ISSN":["2287-1012","2287-1292"],"issn-type":[{"value":"2287-1012","type":"print"},{"value":"2287-1292","type":"electronic"}],"subject":[],"published":{"date-parts":[[2024,4,30]]},"assertion":[{"value":"2023-10-06","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2023-12-12","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-01-15","order":2,"name":"published","label":"Published online","group":{"name":"publication_history","label":"Publication History"}},{"value":"2024-04-30","order":3,"name":"published","label":"Print publication","group":{"name":"publication_history","label":"Publication History"}}]}}