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Published on: September 15, 2018
Familial hypercholesterolemia
Parvaiz A Koul1, Rafi A Jan, Abdul B Wahid
1Department of Internal Medicine, Sheri-Kashmir Institute of Medical Sciences, Srinagar, Kashmir, India.
Insights
Familial homozygous hypercholesterolemia, a rare genetic disorder, causes extremely high cholesterol and early heart disease. This study highlights the age-related severity of xanthomas, linking it to the duration of the condition.
Area of Science:
- Genetics and cardiovascular medicine
- Metabolic disorders research
Background:
- Familial homozygous hypercholesterolemia (FH) is a rare autosomal disorder.
- Characterized by severe hypercholesterolemia, tendon xanthomatosis, and premature atherosclerosis.
- Associated with early coronary artery disease, myocardial infarctions, and sudden death.
Observation:
- A family with familial hypercholesterolemia from the Kashmir valley was studied.
- Detailed examination of cutaneous xanthomas and their relationship with age.
Findings:
- The severity and appearance of cutaneous xanthomas are age-related.
- Suggests a correlation between the duration of hypercholesterolemia and xanthomatosis development.
Implications:
- Understanding the progression of FH and its clinical manifestations.
- Potential for earlier diagnosis and intervention strategies for familial hypercholesterolemia.
- Highlights the genetic and environmental factors influencing xanthoma development in FH.
Abstract:
Familial homozygous hypercholesterolemia is a rare autosomal disorder characterized by high levels of cholesterol, extensive tendon xanthomatosis and premature development of atherosclerotic disease. Early coronary artery disease with myocardial infarctions and sudden deaths are common. We reported a family of familial hypercholesterolemia from the Kashmir valley of the Indian subcontinent. The appearance and the severity of the cutaneous xanthomas was found to be age related suggesting a role for the duration of hypercholesterolemia in the development of xanthomatosis.
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