Table 4.
Chylomicron Retention Disease Treatment
| Early diagnosis without neurological complications: PO | Delayed diagnosis and neurological complications: PO + IV |
|---|---|
| Diet | |
| Low-fat diet | |
| Enriched in essential fatty acids (vegetable oils, fish...) | |
| ± Enriched in medium-chain triglycerides | |
| Liposoluble Vitamins PO | |
| Vitamin E (hydrosoluble form): 50 IU/kg/d | |
| Vitamin A: 15,000 IU/d (adjust according to plasma levels) | |
| Vitamin D: 800-1200 IU/kg/d or 100,000 IU/2 month if < 5 y old, and 600,000 IU/2 month if > 5 y old | |
| Vitamin K: 15 mg/week (adjust according to INR and plasma levels) | |
| One perfusion/month | |
| Fatty acids: intralipid 20% 2 g/kg/month | |
| Vitamin E: 4 to 6 mg/kg/month | |
| Vitamin A: 500 IU/kg/month | |
PO, per os; IV, intravenous