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M. A. MISHKEL, MD
H. G. H. McMaster Lipid Clinic Hamilton General Hospital 237 Barton St E Hamilton, Ontario, Canada L8L 2X2

Am J Dis Child. 1984;138(6):607.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

Sir.—The article by Deckelbaum et al¹ on primary hypertriglyceridemia in childhood interests me because of our large experience of severe hypertriglyceridemia in adult patients.^2,3 The experience of my colleagues and me now extends to 184 patients, all 19 years or older with fasting plasma triglyceride levels greater than 1,000 mg/dL and 43% with levels greater than 2,000 mg/dL. None have shown the clinical feature of intermittent swelling of the limbs and scrotum. Deckelbaum et al¹ described the episodic abdominal pain, eruptive xanthomas, and hepatosplenomegaly at times when the triglyceride levels exceeded 2,000 mg/dL. The swelling of the scrotum could appear on its own, or with swelling and blueness of the legs. The uniqueness of this syndrome might be questioned in view of a case report by Simons et al.⁴

There are sufficient similarities between the two reports to warrant the following comparison (Deckelbaum and colleagues' . . . [Full Text PDF of this Article]

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