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Published on: September 19, 2019
Hypocholesterolaemia in a child with familial hypercholesterolaemia
Jemma Weidinger1, Cherie Conroy1, Damon Bell2,3
1Department of General Paediatrics, Perth Children's Hospital, Nedlands, Western Australia, Australia.
Insights
A boy with familial hypercholesterolaemia presented with unexpectedly low LDL cholesterol. This case highlights historical surgical treatments for severe high cholesterol before statins were available.
Area of Science:
- Pediatric Endocrinology
- Cardiovascular Genetics
- Surgical History
Background:
- Familial hypercholesterolaemia (FH) is a genetic disorder causing high LDL cholesterol.
- Early diagnosis and treatment are crucial to prevent cardiovascular disease.
- Surgical interventions were historically employed for severe FH cases.
Purpose of the Study:
- To report a case of familial hypercholesterolaemia with an unusual presentation.
- To discuss the role of neonatal surgery in managing severe hypercholesterolaemia.
- To remind clinicians of pre-statin era treatment strategies.
Main Methods:
- Case report of a pediatric patient.
- Genetic confirmation of familial hypercholesterolaemia.
- Review of neonatal surgical history (distal ileal resection, right hemicolectomy).
Main Results:
- The patient exhibited genetically confirmed familial hypercholesterolaemia.
- An unusually low level of low-density lipoprotein (LDL) cholesterol was observed.
- The patient had a history of neonatal surgery for ileal atresia and microcolon.
Conclusions:
- Neonatal surgical interventions may be associated with altered lipid profiles in FH patients.
- This case underscores the historical significance of surgical management for severe hypercholesterolaemia.
- It serves as a reminder of therapeutic evolution in managing genetic lipid disorders.
Abstract:
A boy in early childhood with genetically confirmed familial hypercholesterolaemia was found to have an unusually low low-density lipoprotein cholesterol level. He had undergone a distal ileal resection and right hemicolectomy for ileal atresia and microcolon in the neonatal period. This case serves as a reminder of the surgical interventions sometimes used to treat severe hypercholesterolaemia in the pre-statin era.
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