Case presentation
This report highlights the decision-making involved in managing a
patient who had refractory hypertriglyceridemia, followed by a review of
genetic lipodystrophies. The patient is a 43-year-old female with a past
medical/surgical history significant for diabetes mellitus,
hypertriglyceridemia, hypertension, fibromyalgia, GERD, Sjogren’s
syndrome, Rheumatoid arthritis,irritable bowel syndrome, and
cholecystectomy. Her home medications are listed in Table 1.She
presented to the hospital for persistent abdominal, flank and chest pain
refractory to pain management with acetaminophen and ibuprofen at home.
This pain started after she was setting decoration for the holidays. She
denied anyassociated nausea, vomiting, fevers, chills, recent
constipation, diarrhea, shortness of breath, cough, palpitations, or
dysuria.