Alterations in serum lipid concentrations before and after myocardial infarction in a patient with hyperlipoproteinemia and sarcoidosis--a case report.

This report describes a sarcoidosis patient with a type II-b hyperlipoproteinemia who suffered acute myocardial infarction during corticosteroid therapy for sarcoidosis and whose blood lipid levels were assessed before and after the infarction. After the infarction occurred, lipoprotein analysis revealed a type II-a hyperlipoproteinemia concomitant with high free fatty acids, phospholipids, and HDL-cholesterol values; an increased ratio of total cholesterol to triglycerides; and a decreased ratio of very low density lipoproteins to total lipoproteins, suggesting that changes in types of hyperlipoproteinemia may be associated with the onset of myocardial infarction.