Hypertriglyceridemia physical examination

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-In-Chief: Priyamvada Singh, M.B.B.S. [2]

Overview

Physical examination in patients with hypertriglyceridemia are variable. Generally, findings on physical examinations are found with very high triglycerides levels (>1000 mg/dL)

Physical Examination

General physical examination

• Increased body mass index (obesity)
• Lymphadenopathy

Eye

• Lipemia retinalis (usually with levels >4000 mg/dL)

Skin

• Eruptive cutaneous, tuberous, and striate palmar xanthomas (usually with levels >1000 mg/dL)
• Palmar xanthomas ({pathognomonic of dysbetalipoproteinemia type III)

Abdomen

• Hepatomegaly
• Splenomegaly
• Epigastric tenderness in pancreatitis

Central nervous system

• Peripheral neuropathy