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A 12 year old Caucassian boy is found to have a turbid plasma that forms a creamy appearing supernetant on standing. His plasma lipoprotein activity measured after heparin injection is found to be considerably reduced. Which of the following ways will this patient come to medical attention probably?
A. Chest pain
B. Abdominal pain
C. Tendon xanthomas
D. Xanthelesmas
E. Mental retardation
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b
type I familial hyperlipidemia
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extention for you Iqbalian
What will you find in the eyes of this patient?
2) What pharmacotherapy will you prescribe for his condition?
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red-orange xanthomas
niacin to reduce the triglyceride levels
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I was looking for 'lipemia retinalis' and for ' fibrates actually'.
Good anyways.You are impressive. keep it up.
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according to recent studies type1 hyperlipoproteinemia is also a CVD risk factor( 21% present with chest pain) but pancreatitis is still more common (24%)..these pts have eruptive xanthomas as opposed to Type 2 disease which manifestt as angina (MI) BEFORE 20 YRS...and examination usually reveal tendinous xanthomas and xanthelesma.....DOC for TYPE 1....fonofibrate and statins for type 2
