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Journal Article

Primary lipoprotein-lipase-activity deficiency: clinical investigation of a French Canadian population

C. Gagne, L. D. Brun, P. Julien, S. Moorjani and P. J. Lupien
CMAJ February 15, 1989 140 (4) 405-411;
C. Gagne
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L. D. Brun
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P. Julien
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S. Moorjani
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P. J. Lupien
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Abstract

We examined 56 French Canadians, aged 1 week to 54 years, from eastern Quebec who were referred to the Laval University Lipid Research Centre and in whom coincidental finding (in 46% of the cases), abdominal pain (in 32%) or family screening (in 22%) led to the diagnosis of primary lipoprotein-lipase-activity deficiency (familial hyperchylomicronemia). Half of the patients had one or more of the following signs: lipemia retinalis, eruptive xanthomas, splenomegaly and hepatomegaly; the plasma triglyceride concentrations were significantly higher (greater than 40 mmol/L) among these patients than among those without clinical signs (mean 21.7 [standard deviation 13.5] mmol/L). The prevalence rate of this disorder was 30 times higher than the previously published rate and was highest in the counties of Charlevoix and Saguenay-Lac-St-Jean (200 and 100 cases per million respectively) because of the distinct demographic history of these areas. Because of a founder effect an autosomal recessive gene involved in lipoprotein-lipase expression or activation has probably been disseminated among this isolated French Canadian population.

  • Copyright © 1989 by Canadian Medical Association
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Vol. 140, Issue 4
15 Feb 1989
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Primary lipoprotein-lipase-activity deficiency: clinical investigation of a French Canadian population
C. Gagne, L. D. Brun, P. Julien, S. Moorjani, P. J. Lupien
CMAJ Feb 1989, 140 (4) 405-411;

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Primary lipoprotein-lipase-activity deficiency: clinical investigation of a French Canadian population
C. Gagne, L. D. Brun, P. Julien, S. Moorjani, P. J. Lupien
CMAJ Feb 1989, 140 (4) 405-411;
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