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Tuesday 11 October 2011

Palmar crease xanthoma

- pathognomonic of type III hyperlipidemia (Broad beta disease / remnant hyperlipidemia / familial dysbetalipoproteinemia) - autosomal recessive
- caused by deficiency of apoliproprotein E (ligand for chylomicron)
- characterised by increased LDL, triglyceride and cholesterol, decreased HDL
- have elevation of IDL, a VLDL remnant
- diagnosed by lipoprotein electrophoresis or genotyping of apoprotein E
- also presents with tuboeruptive xanthoma

6 comments:

melody said...

Which type of dyslipaedemia carries higher risk of cvs complication? Familial hypercholeterolemia vs type III hyperlipid?

melody said...

Which one will increase cvs risk more? Type III hyperlipid vs familial hypercholesterol?

KIM, ALEX said...

Familial hypercholesterolemia associated with premature CVS disease. Caused by LDL receptor dysfunction.Less common than familial combined hyperlipidemia.

Fishydishy said...

Silly I know but -

P III, with lumps on knee from loss of E.

Bronya B said...

Fishydishy -- that is actually pretty neat! Thanks! (And thank you, too, Blogger!)

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