Differential diagnosis of high hypercholesterolemia (clinical case)

Abstract

We are describing a clinical case of severe hypercholesterolemia with an initial suspicion about its inherited origin. However, after appropriate examination of the patient, this hyperlipidemia was referred to the secondary one due to kidney disease and hypothyroidism that the patient had. In addition, absence of tendinous xanthomata and monogenic pattern of inheritance in the patient, a very good hypolipidemic effect observed from the low dose statin in combination with a basic therapy of the primary diseases also suggested the secondary origin of the lipid disorder