Familial hypercholesterolemia revealed by multiple xanthomas
Nassiba Elouarradi, Nawal El Ansari
The Pan African Medical Journal. 2018;30:29. doi:10.11604/pamj.2018.30.29.15719

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Familial hypercholesterolemia revealed by multiple xanthomas

Cite this: The Pan African Medical Journal. 2018;30:29. doi:10.11604/pamj.2018.30.29.15719

Received: 06/04/2018 - Accepted: 07/05/2018 - Published: 16/05/2018

Key words: Familial hypercholesterolemia , xanthomas , LDL

© Nassiba Elouarradi et al. The Pan African Medical Journal - ISSN 1937-8688. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Available online at: http://www.panafrican-med-journal.com/content/article/30/29/full

Corresponding author: Nassiba Elouarradi, Service of Endocrinology, Diabetology and Metabolic Diseases, University Hospital of Marrakech, Marrakech, Morocco (nassibaelouarradi@gmail.com)


Familial hypercholesterolemia revealed by multiple xanthomas

Nassiba Elouarradi1,&, Nawal El Ansari1

 

1Service of Endocrinology, Diabetology and Metabolic Diseases, University Hospital of Marrakech, Marrakech, Morocco

 

 

&Corresponding author
Nassiba Elouarradi, Service of Endocrinology, Diabetology and Metabolic Diseases, University Hospital of Marrakech, Marrakech, Morocco

 

 

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Familial hypercholesterolemia (HF) is a rare pathology characterized by a major elevation of LDL associated with tendinous and subcutaneous xanthomas. We report the case of a 16-year-old patient, born from a first degree consanguineous marriage, with no particular pathological antecedents, the patient reports appearance for 9 years of cutaneous lesions described as a swellings in the posterior face of the 2 elbows and the anterior surface of the 2 knees, painless, firm, and gradually increasing in volume. The patient consulted only at the age of 16 years in front of the aesthetic discomfort. The biological assessment objectified a hypercholesterolemia: total Cholesterol: 4.44g/l. HDL: 0.64g/l. LDL: 3.71g/l. and Triglycerides: 0.67g/l. The exploration of cardiac repercussion was without particularities.The patient was treated with dietary and lifestyle measures and atorvastatin 80 mg with good clinical and biological evolution.

 

Figure 1: xanthoma on the posterior face of the elbow

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 


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Keywords

Familial hypercholesterolemia
Xanthomas
LDL

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