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Fatty emaciation: a case report of suspected fat overload syndrome in oral refeeding
Authors:Macher Arielle D  Palazuelos Daniel  Maviglia Saverio M
Affiliation:Department of Medicine, Hospitalist Service, Brigham and Women's Hospital, Boston, Massachusetts 02155, USA. amacher@partners.org
Abstract:Refeeding syndrome has been observed in patients receiving nutrition after a prolonged period of malnourishment and is characterized by multiple metabolic derangements. Besides hypophosphatemia and hypoglycemia, lipemia has been described in association with parenteral nutrition administration to the malnourished. The authors describe one anorexic patient who developed lipemia during oral refeeding, followed by a precipitous drop in hematocrit suggestive of fat overload syndrome.
Keywords:anemia  anorexia  fat overload syndrome  hemolysis  hypertriglyceridemia  lipemia  malnutrition  refeeding syndrome  parenteral nutrition
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