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American Journal of Clinical Nutrition, Vol 18, 20-26, Copyright © 1966 by The American Society for Clinical Nutrition, Inc.

Studies in a Patient with Chyluria

Relationship of Dietary Lipid to Urinary Fat Excretion

ROBERT I. LEVY M.D.1, DAVID A. TURNER PH.D.1, and ALBERT I. MENDELOFF M.D.1

1 From the Department of Medicine, Sinai Hospital of Baltimore, Baltimore, Maryland 21215

The urinary lipid pattern of a patient with chyluria has been characterized. Triglyceride was demonstrated to be the major component of the urinary lipid which had a similar composition to intestinal chyle. In feeding experiments incorporating different fatty acids, the composition of urinary triglyceride was shown to approach the fatty acid pattern of the diet rapidly. Urinary cholesterol ester and lecithin fatty acid on the other hand did not reflect the composition of the ingested lipid. A triglyceride preparation of medium-chain length fatty acids, octanoic and decanoic acids, probably absorbed directly into the venous-hepatic system rather than into the lymphatic system, abolished the chyluria.






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Copyright © 1966 by The American Society for Nutrition