ESSENTIAL HYPERLIPEMIA

Abstract
Report of a case of essential hyperlipemia emphasizes the frequent association with coronary atherosclerosis and the ease of recognition when the fasting serum is observed for the characteristic milky appearance and the skin lesions of a xanthomatous nature. In primary hypercholesteremic xanthomatosis, the serum is clear and skin lesions are tuberous in nature. This case illustrated the remarkable lowering of. serum neutral fat levels from 5.786 g/100 ml to 355 mg/100 ml on a diet restricted to less than 20 g of fat daily. This response to diet is a distinctive phenomenon in essential hyperlipemia not shared by primary hypercholesteremic xanthomatosis. Maintaining the fat intake at less than 10 g for 2 meals, a free fat intake was allowed for the 3d meal daily for 7 months. The neutral fat rose to 1.460 g/100 ml within that period.

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