Autoimmune Lymphoproliferative Syndrome: A Rare Cause of Disappearing HDL Syndrome
Joint Authors
Sriram, Swetha
Rodriguez, Vilmarie
Kumar, Seema
Joshi, Avni Y.
Source
Issue
Vol. 2016, Issue 2016 (31 Dec. 2016), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2016-08-08
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
The term disappearing HDL syndrome refers to development of severe high density lipoprotein cholesterol (HDL-C) deficiency in noncritically ill patients with previously normal HDL-C and triglyceride levels.
Autoimmune lymphoproliferative syndrome (ALPS) is a disorder of the immune system due to an inability to regulate lymphocyte homeostasis resulting in lymphadenopathy and hepatosplenomegaly.
We describe a 17-year-old boy who was evaluated in the lipid clinic for history of undetectable or low HDL-C and low density lipoprotein cholesterol (LDL-C) levels.
Past medical history was significant for ALPS IA diagnosed at 10 years of age when he presented with bilateral cervical adenopathy.
He was known to have a missense mutation in one allele of the FAS protein extracellular domain consistent with ALPS type 1A.
HDL-C and LDL-C levels had been undetectable on multiple occasions, though lipids had not been measured prior to the diagnosis of ALPS.
He had been receiving sirolimus for immunosuppression.
The HDL-C and LDL-C levels correlated with disease activity and improved to normal levels during times when the activity of ALPS was controlled.
This case highlights the importance of considering ALPS as a cause of low HDL-C and LDL-C levels in a child with evidence of lymphoproliferation.
American Psychological Association (APA)
Sriram, Swetha& Joshi, Avni Y.& Rodriguez, Vilmarie& Kumar, Seema. 2016. Autoimmune Lymphoproliferative Syndrome: A Rare Cause of Disappearing HDL Syndrome. Case Reports in Immunology،Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1100928
Modern Language Association (MLA)
Sriram, Swetha…[et al.]. Autoimmune Lymphoproliferative Syndrome: A Rare Cause of Disappearing HDL Syndrome. Case Reports in Immunology No. 2016 (2016), pp.1-4.
https://search.emarefa.net/detail/BIM-1100928
American Medical Association (AMA)
Sriram, Swetha& Joshi, Avni Y.& Rodriguez, Vilmarie& Kumar, Seema. Autoimmune Lymphoproliferative Syndrome: A Rare Cause of Disappearing HDL Syndrome. Case Reports in Immunology. 2016. Vol. 2016, no. 2016, pp.1-4.
https://search.emarefa.net/detail/BIM-1100928
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1100928