1. Pseudohypertriglyceridemia: A Novel Case with Important Clinical Implications
- Author
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Jonathan Meyer, Kenneth E. Blick, Hui Pang, Ankur Rughani, Jeanie B. Tryggestad, and Monica T. Marin
- Subjects
medicine.medical_specialty ,Case Report ,Diagnostic accuracy ,Pediatrics ,RJ1-570 ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,Internal medicine ,medicine ,Glycerol ,Missense mutation ,030304 developmental biology ,0303 health sciences ,biology ,business.industry ,Hypertriglyceridemia ,Glycerol kinase deficiency ,General Medicine ,medicine.disease ,Serum triglyceride levels ,Gestational diabetes ,Endocrinology ,chemistry ,biology.protein ,business ,030217 neurology & neurosurgery - Abstract
Pseudohypertriglyceridemia is an overestimation of serum triglyceride levels that may incorrectly lead to a diagnosis of hypertriglyceridemia. Glycerol kinase deficiency is a condition in which glycerol cannot be phosphorylated to glycerol-3-phosphate, resulting in elevated levels of serum glycerol. Laboratory assays that measure triglycerides indirectly may be affected by elevated glyerol levels and incorrectly report serum tryglyceride levels. We present a case of a novel missense mutation in the GK gene leading to isolated glycerol kinase deficiency and pseudohypertriglyceridemia in a male infant of a mother with gestational diabetes. This paper reviews glycerol kinase deficiency, describes the challenges in diagnosing pseudohypertriglyceridemia, and provides suggestions on improving diagnostic accuracy. Additionally, a potential maternal-fetal interaction between gestational diabetes and glycerol kinase deficiency is discussed.
- Published
- 2020