True hyponatremia in the setting of pegasparagase-induced hypertriglyceridemia: A case report.


Journal

Clinica chimica acta; international journal of clinical chemistry
ISSN: 1873-3492
Titre abrégé: Clin Chim Acta
Pays: Netherlands
ID NLM: 1302422

Informations de publication

Date de publication:
01 Jun 2022
Historique:
received: 07 02 2022
revised: 23 02 2022
accepted: 25 02 2022
pubmed: 15 3 2022
medline: 7 6 2022
entrez: 14 3 2022
Statut: ppublish

Résumé

Pegasparagase (PEG-Asparaginase) induced hypertriglyceridemia is rare in the treatment of lymphoblastic lymphoma in children. We present a case of PEG-asparaginase induced hypertriglyceridemia that was incidentally identified and suspicion of its interference with sodium measurement in the clinical laboratory. The use of a direct ion selective method clarified the presence of true hyponatremia. The patient was treated with an oral Fenofibrate therapy which resolved the hypertriglyceridemia. This case highlights that PEG-asparaginanse and Olazanpine can induce hypertriglyceridemia in acute lymphoblastic leukemia and it may be useful to obtain baseline triglyceride measurements for these patients.

Identifiants

pubmed: 35283095
pii: S0009-8981(22)00076-6
doi: 10.1016/j.cca.2022.02.017
pii:
doi:

Substances chimiques

Antineoplastic Agents 0
Polyethylene Glycols 3WJQ0SDW1A
Asparaginase EC 3.5.1.1

Types de publication

Case Reports Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

68-70

Informations de copyright

Copyright © 2022. Published by Elsevier B.V.

Auteurs

Lily Olayinka (L)

Department of Pathology and Immunology, Baylor College of Medicine, Houston, TX 77030, USA; Section of Clinical Chemistry, Division of Laboratory Medicine, Department of Pathology, Texas Children's Hospital, Houston, TX 77030, USA.

Izmarie Poventud-Fuentes (I)

Department of Pathology and Immunology, Baylor College of Medicine, Houston, TX 77030, USA; Section of Clinical Chemistry, Division of Laboratory Medicine, Department of Pathology, Texas Children's Hospital, Houston, TX 77030, USA.

Shajia Rahman Ansari (S)

Department of Pathology and Immunology, Baylor College of Medicine, Houston, TX 77030, USA.

Emily Garnett (E)

Department of Pathology and Immunology, Baylor College of Medicine, Houston, TX 77030, USA; Section of Clinical Chemistry, Division of Laboratory Medicine, Department of Pathology, Texas Children's Hospital, Houston, TX 77030, USA.

Sridevi Devaraj (S)

Department of Pathology and Immunology, Baylor College of Medicine, Houston, TX 77030, USA; Section of Clinical Chemistry, Division of Laboratory Medicine, Department of Pathology, Texas Children's Hospital, Houston, TX 77030, USA. Electronic address: sxdevara@texaschildrens.org.

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Classifications MeSH