DyslipidemiaProtein defectElevated lipoproteinsMajor manifestations
Familial chylomicronemia syndrome (type I)Lipoprotein lipase, ApoC-2ChylomicronsAcute pancreatitis, Lipemia retinalis, Eruptive xanthomas
Familial hypercholesterolemia (type II A)LDL receptor, ApoB-100LDLPremature atherosclerosis, Tendon xanthomas, Xanthelasmas
Familial dysbetalipoproteinemia (type III)ApoEChylomicron & VLDL remnantsPremature atherosclerosis, Tuboeruptive & palmar xanthomas
Familial hypertriglyceridemia (type IV)PolygenicVLDLAssociated with coronary disease, pancreatitis & diabetes

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  • Type II
    • Premature atherosclerosis, may lead to myocardial infarction at a very young age (< 20 years)
    • Arcus lipoides corneae
    • Tuberous/tendon xanthomas (especially the Achilles tendon) in type IIa

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