Dyslipidemia | Protein defect | Elevated lipoproteins | Major manifestations |
---|---|---|---|
Familial chylomicronemia syndrome (type I) | Lipoprotein lipase, ApoC-2 | Chylomicrons | Acute pancreatitis, Lipemia retinalis, Eruptive xanthomas |
Familial hypercholesterolemia (type II A) | LDL receptor, ApoB-100 | LDL | Premature atherosclerosis, Tendon xanthomas, Xanthelasmas |
Familial dysbetalipoproteinemia (type III) | ApoE | Chylomicron & VLDL remnants | Premature atherosclerosis, Tuboeruptive & palmar xanthomas |
Familial hypertriglyceridemia (type IV) | Polygenic | VLDL | Associated with coronary disease, pancreatitis & diabetes |
- 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