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A neonate with a ‘milky’ blood. What can it be?
  1. Andrea Bordugo1,
  2. Eva Carlin1,
  3. Sergio Demarini2,
  4. Flavio Faletra3,
  5. Franco Colonna1
  1. 1Pediatric Unit, St ‘Maria dei Battuti Hospital’, AOSMA, S.Vito al Tagliamento, Italy
  2. 2Neonatal Intensive Care Unit, Institute for Maternal and Child Health-IRCCS ‘Burlo Garofolo’, Trieste, Italy
  3. 3Department of Genetics, Institute for Maternal and Child Health-IRCCS ‘Burlo Garofolo’, Trieste, Italy
  1. Correspondence to Dr Andrea Bordugo, Pediatric Unit, St ‘Maria dei Battuti Hospital’, Via Savorgnano 2, S.Vito al Tagliamento 33078, Italy; abordugo{at}hotmail.com

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A 17-days-old, breast fed, female neonate presented with low-grade fever (37.8°C) and no obvious clinical signs. A blood sample, drawn for a sepsis work-up, appeared viscous and with a purple shade. After centrifugation, serum appeared white and creamy (figure 1A, B). Cholesterol was 29 mmol/L, HDL-cholesterol 0.54 mmol/L, triglycerides were 218 mmol/L. Apolipoprotein A 5.53 μmol/L and apolipoprotein B 0.08 g/L. …

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