One female inpatient, K. N., aged 57 years, suffered from liver cirrhosis, hypothyroidism, hypoadrenalism and bleeding tendency. After admission she received the administrations of diuretics such as furosemide and spironolactone to improve her anasarca, and also those of levothyroxine and prednisolone to fill up the deficient thyroid or adrenal functions.
Slight to moderate elevations of transaminase activities, alkaline phosphatase activity of total bilirubin and increased gamma globulin concentrations were observed in this case, while low levels of triiodothyronine, total thyroxine, cortisol or urinary 17-hydroxycorticoid.
Serum LCAT activity was extremely decreased, that was, 16nmol/ml/hr. She also had extremely low levels of serum lipids or apoproteins. For examples serum total cholesterol was 16mg/dl, triglyceride 18mg/dl, HDL-cholesterol 8mg/dl, phospholipid 27mg/dl, apoproteins A-I, C-II or C-III 0mg/dl, A-II 2.8mg/dl, B 10mg/dl and E 0.8mg/dl. VLDL-Chol, VLDL-TG, VLDL-PL and LDL-TG were smaller in the proportions of lipoprotein fractions, while HDL-TG, LDL-Chol and LDL-PL larger.
One rare cirrhotic case with extremely low levels of serum lipids, apoproteins or lipoprotein fractions were shown in this article.
