If not celiac, then I would bet on some other congenital/genetic condition.
That is usually the explanation when levels are that high. I would also
insist on repeating a test that was that abnormal. Triglyceride levels are
highest in the hours just after eating - they are usually drawn after a 10
hour fast, not easy to do with one so young.

Sharon Knorr, IBCLC
New York, USA

On Thu, Mar 26, 2009 at 10:40 PM, Rosemary McNaughton
<[log in to unmask]>wrote:

> Has the pediatrician considered celiac disease?  That could explain the
> family history, weight loss, multiple food allergies (from gut damage from
> gluten) and might explain the blood test results.  I hadn't heard of a
> relationship between celiac and triglycerides before, but a quick google
> found me this: http://www.ncbi.nlm.nih.gov/pubmed/1865279?dopt=Abstractfrom
> 1991 - J Pediatr Gastroenterol
>
> Nutr.<javascript:AL_get(this,%20'jour',%20'J%20Pediatr%20Gastroenterol%20Nutr.');>1991
> May;12(4):459-60.
> *  *"Serum lipids in celiac children." This research found  high
> triglycerides and lower than normal HDL and Total cholesterol in children
> with untreated celiac.
>
> I'm not sure what the standard is for testing infants for celiac, but I do
> know that a common type of test requires recent gluten exposure, so if
> there
> is a possibility of doing this test, mom should keep gluten in her diet
> (and
> baby's) as usual until the test and then can try strict elimination for
> them
> both.
>
> I hope she can keep breastfeeding - it's the safest and most healing food
> for her baby's gut!  And the food pickiness may resolve once they get to
> the
> bottom of this... I'd be picky, too, if eating food made me hurt!
>
> Rosemary McNaughton, LLLL
> Northampton, MA
>
> On Thu, Mar 26, 2009 at 8:32 PM, Debbie Gillespie <[log in to unmask]
> >wrote:
>
> > Hi All,
> >
> > I’ve got a really quirky case that I’m not sure how to counsel.  Baby is
> 14
> > months old; still almost exclusively breastfed (family history includes
> > laundry list of allergies); 18 lbs. 1.5 oz current weight, down from 18
> > lbs.
> > 13.5 oz at a year.  Mom is a long-time vegetarian and became vegan when
> > baby
> > reacted to milk and egg in mom’s diet; she does take prenatals but no
> other
> > supplements.  Baby’s main source of nutrition remains breastmilk.  Ped
> has
> > been aggressively pushing solids and even formula supplementation for
> past
> > several months, but mom has resisted the pressure.  Infant reacts
> violently
> > to many different solids, so mom has been proceeding cautiously when
> > introducing any solids; baby is VERY picky.  Ped ran some blood tests
> > recently and the results have freaked everyone out:
> >
> >  Cholesterol: 205 (Should be less than 170 for someone her age)
> >
> > Triglycerides (fasting): 820 (Should be less than 150 for someone her age
> > fasting)
> >
> > HDL: 20 (Should be greater than 45)
> >
> > %HDL: 10 (Should be greater than 27)
> >
> > LDL: Invalid with triglyceride level over 400
> >
> > VLDL: Invalid with triglyceride level over 400
> >
> > Cholesterol/HDL Ratio: 10.3 (Should be less than 4.5)
> >
> > Breastfeeding and Human Lactation includes one paragraph about
> cholesterol
> > (it’s typically higher in a breastfed infant) and nothing about
> > triglycerides.  Lawrence’s book has three pages regarding cholesterol
> > levels
> > in infancy but only for the first few months of breastfeeding, and
> nothing
> > about triglycerides. JHL has an article in 2/2003 (The Long-Term Effects
> of
> > Early Nutrition: The Role of Breastfeeding on Cholesterol Levels ) but I
> > suspect it’s going to reiterate the same info that’s published in the
> > textbooks (I admit I haven’t read the article but I’m trying to avoid
> > troubling ILCA any more than necessary).
> >
> >  This obviously falls outside our area of expertise, but I’d like to
> > support
> > the mother as much as possible.  Ped seems to be searching for any excuse
> > to
> > get baby off the breast ASAP.  Has anyone come across such high
> cholesterol
> > and triglyceride levels before?  Let me know if you need any further
> info.
> >
> >  Thank you in advance,
> >
> > Debbie Gillespie, IBCLC, LLLL
> > Tempe, AZ
> >
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