THe following
anti-HIV drugs are known to cause 
“lipid elevation”
THESE DRUGS
CAUSE DISEASES that affect virtually all tissues and organs: mitochondrial
myopathy, cardiomyopathy, neuropathy, lactic acidosis, pancreas failure,
diabetes, liver failure and bone marrow failure.
Anti-HIV drugs are toxic to cell mitochondria. Lipid
Elevation can lead to
numerous problems including heart disease and pancreatitis:

Organ
manifestations of mitochondrial toxicity. The question marks signify
manifestations being debated as of 2007.
The
mitochondrial toxicity of anti-HIV drugs causes a bewildering diversity of
diseases – many of which appear in the black box warning labels of the anti-HIV
drugs:
|
Disorder |
Manifestations |
|
Neurological Neuromuscular Heart Endocrine Gastrointestinal Kidney Blood Psychiatric General |
Peripheral neuropathy,
encephalopathy, dementia, seizures, stroke Muscle weakness, exercise intolerance Weak heart, conduction disorders Diabetes mellitus, lipid elevation Colonic pseudo-obstruction, exocrine pancreas dysfunction,
pancreatitis, hepatomegaly, steatosis, liver failure, lactic acidosis Non-selective proximal tubular dysfunction with acidic blood,
phosphaturia and glucosuria, glomerulopathy Anemia, thrombocytopenia, pancytopenia Depression Multiple systemic lipomas, fatigue |
Lipid elevation (elevated fats) is when you have
too many fatty substances in your blood, including cholesterol and triglycerides.
Blood fat elevation usually has no noticeable symptoms and tends to be
discovered during routine examination. However, deposits of cholesterol (known
as xanthomas) may form under the
skin (especially around the eyes or along the Achilles tendon) in those with
very high levels of cholesterol in the blood.
Xanthomas


High
triglycerides
may produce numerous pimple-like lesions across the body and affect vision.
Hypertriglyceridemia

Hypertriglyceridemia
of retina

Atherosclerosis is a condition in
which fatty material collects along the walls of arteries. Atherosclerosis can
result from elevations of blood cholesterol, triglycerides, or both. This fatty
material thickens, hardens (forms calcium deposits), and may eventually block
the arteries.
Atherosclerosis

Cholesterol-filled
coronary artery

Acute pancreatitis is inflammation of
the pancreas that occurs suddenly and usually resolves in a few days with treatment.
Marked elevation of triglyceride levels can cause acute pancreatitis. Normally,
digestive enzymes secreted by the pancreas do not become active until they
reach the small intestine. But when the pancreas is inflamed, the enzymes
inside it attack and damage the tissues that produce them. Acute pancreatitis
can be a life-threatening illness with severe complications.
Pancreatitis

Acute
pancreatitis


Xanthomata accompanying pancreatitis