Abstract

Severe hypertriglyceridemia (HTG) in the chylomicronemia (CM) range is associated with acute pancreatitis. Plasma exchange (PEX) has been used for the treatment of chronic CM in the setting of recurrent pancreatitis. We present a patient with multifactorial CM syndrome and recurrent pancreatitis recently started on biweekly sessions of PEX. We share lessons learned on the management of multifactorial CM syndrome and highlight the potential complications associated with chronic apheresis.

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