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| | SparkNotes: Lipids and Coronary Heart Disease: Familial Hypercholesterolemia |
 | | Homozygous familial hypercholesterolemia occurs at a rate of less than 1 in 1,000,000. |
 | | Clinical clues to the presence of this disorder include a strong family history of early atherosclerotic cardiovascular disease, a family history of familial hypercholesterolemia, and physical evidence of lipid deposition, including tendon xanthomata, xanthelasma, and corneal arcus. |
 | | Treatment of familial hyperlipidemia should include aggressive attempts to lower cholesterol, including strict dietary modifications, escalating doses of potent lipid-lowering medications, LDL apheresis, and consideration of liver transplantation. |
| www.sparknotes.com /health/lipids/section6.rhtml (250 words) |
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