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家族性高胆固醇血症纯合子患者的角膜弓和黄斑瘤:来自中国的首例报告。

Corneal arcus and xanthomas in homozygous familial hypercholesterolemia: first report from China.

机构信息

Department of Ophthalmology, Beijing Anzhen Hospital, Capital Medical University, Beijing, China.

出版信息

Indian J Ophthalmol. 2013 Dec;61(12):770-1. doi: 10.4103/0301-4738.118456.

DOI:10.4103/0301-4738.118456
PMID:24088637
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3917403/
Abstract

We report the case of a 12-year-old male who developed corneal arcus and multiple skin lesions with a 10-year history of xanthomas. The lesions appeared over his fingers, hands, elbows, knees, buttocks and feet. Laboratory studies showed a total serum cholesterol level of 752.1 mg/dL; a triglyceride level of 96.6 mg/dL; a low-density lipoprotein cholesterol level of 661.3 mg/dL. Findings were consistent with homozygous familial hypercholesterolemia. To our knowledge, this is the first such case to be reported from China.

摘要

我们报告了一例 12 岁男性病例,该患者患有角膜弓和多发性皮肤损伤,并有 10 年的黄瘤病史。病变出现在手指、手、肘部、膝盖、臀部和脚部。实验室研究显示总血清胆固醇水平为 752.1mg/dL;甘油三酯水平为 96.6mg/dL;低密度脂蛋白胆固醇水平为 661.3mg/dL。检查结果符合家族性高胆固醇血症纯合子型。据我们所知,这是首例来自中国的此类病例报告。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab9/3917403/dd6dec972430/IJO-61-770-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab9/3917403/c6ccbc0295f1/IJO-61-770-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab9/3917403/75f461d2660b/IJO-61-770-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab9/3917403/dd6dec972430/IJO-61-770-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab9/3917403/c6ccbc0295f1/IJO-61-770-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab9/3917403/75f461d2660b/IJO-61-770-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6ab9/3917403/dd6dec972430/IJO-61-770-g003.jpg

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本文引用的文献

1
Correlating corneal arcus with atherosclerosis in familial hypercholesterolemia.家族性高胆固醇血症中角膜弓与动脉粥样硬化的相关性
Lipids Health Dis. 2008 Mar 10;7:7. doi: 10.1186/1476-511X-7-7.
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Cardiovascular risk reduction in high-risk pediatric patients: a scientific statement from the American Heart Association Expert Panel on Population and Prevention Science; the Councils on Cardiovascular Disease in the Young, Epidemiology and Prevention, Nutrition, Physical Activity and Metabolism, High Blood Pressure Research, Cardiovascular Nursing, and the Kidney in Heart Disease; and the Interdisciplinary Working Group on Quality of Care and Outcomes Research: endorsed by the American Academy of Pediatrics.高危儿科患者心血管疾病风险降低:美国心脏协会人口与预防科学专家小组、青年心血管疾病理事会、流行病学与预防理事会、营养、身体活动与代谢理事会、高血压研究理事会、心血管护理理事会、心脏病肾脏理事会以及护理质量与结果研究跨学科工作组的科学声明;得到美国儿科学会认可
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Ocular lipid deposition and hyperlipoproteinaemia.眼部脂质沉积与高脂蛋白血症。
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Relationship between corneal arcus and hyperlipidaemia is clarified by studies in familial hypercholesterolaemia.家族性高胆固醇血症的研究阐明了角膜弓与高脂血症之间的关系。
Br J Ophthalmol. 1983 Dec;67(12):789-94. doi: 10.1136/bjo.67.12.789.
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Defective lipoprotein receptors and atherosclerosis. Lessons from an animal counterpart of familial hypercholesterolemia.有缺陷的脂蛋白受体与动脉粥样硬化。家族性高胆固醇血症动物模型的启示。
N Engl J Med. 1983 Aug 4;309(5):288-96. doi: 10.1056/NEJM198308043090507.