Table 2 Path to FCS Diagnosis
From: The burden of familial chylomicronemia syndrome in Canadian patients
N (%) | |
|---|---|
Number of physicians seen for symptoms before FCS diagnosis, median (range) | 4 (2–6) |
Common reasons leading to diagnosis of FCS | |
Symptoms that I later learned were due to FCS | 18 (49) |
Family history of FCS | 17 (46) |
Hospitalization(s) due to pancreatitis | 15 (41) |
Abnormal lipid levels in routine bloodwork | 7 (19) |
Colic and/or failure to thrive in infancy | 2 (5) |
Development of unexplained hepatosplenomegaly | 1 (3) |
Family History of FCS | 33 (89) |
Father | 13 (35) |
Uncle | 11 (30) |
Paternal Grandfather | 10 (27) |
Fasting triglyceride levels at diagnosis | |
8.4- < 11.3 mmol/L | 26 (70) |
11.3- < 14.1 mmol/L | 10 (27) |
14.1- < 17 mmol/L | 1 (3) |
Physician specialty who made FCS diagnosis | |
I don’t know | 10 (27) |
Endocrinologist | 10 (27) |
Pediatrician | 6 (16) |
Pancreatologist | 4 (11) |
Nephrologist | 2 (5) |
Primary Care Physician | 2 (5) |
Dermatologist | 1 (3) |
Cardiologist | 1 (3) |
Metabolic Specialist | 1 (3) |
Prior to being correctly diagnosed with FCS | |
Patients with misdiagnoses | 10 (27) |
Most common misdiagnoses | |
Acute pancreatitis of unknown cause | 5 (50) |
Hypertriglyceridemia | 4 (40) |
Food allergy | 1 (10) |