Cited by 27Lipid metabolism and disordersLipoproteins and Cardiovascular HealthDiabetes, Cardiovascular Risks, and Lipoproteins

Clinical features of type III hyperlipoproteinemia: analysis of 64 patients

Feussner, G., Wagner, A., Kohl, B., Ziegler, R.·1993·The Clinical Investigator

Abstract

The clinical and biochemical characteristics of type III hyperlipoproteinemia are described in 64 patients (35 males and 29 females). Homozygosity for apolipoprotein E2, the presence of an abnormally cholesterol-rich very low density lipoprotein fraction (beta-VLDL) and an elevated ratio of very low density lipoprotein cholesterol to plasma triglycerides (> 0.3; normal ratio about 0.2) were the basis for the diagnosis. Mean serum cholesterol and triglyceride concentrations at the first visit in the clinic were 426 +/- 221 and 719 +/- 996 mg/dl, respectively. The mean age at diagnosis of the disorder was 49 years in males and 53 years in females. There was a high prevalence of obesity (72%), xanthomas (42%), and atherosclerosis (39%), especially peripheral vascular disease (31%). Early and correct diagnosis of this familial lipoprotein disorder seems necessary because of the prompt and beneficial response to therapeutic interventions.

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Crossref · 10.1007/bf00186624

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  • Palmar xanthomas occur in type III HLP patients at a rate of 39%.

    “Typical (and nearly pathognomonic) findings are palmar xanthomas (orangeyellowish discolourations of the palmar creases) which have been reported to occur in these patients at a rate of 39%.3”

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Authors
Feussner, G., Wagner, A., Kohl, B., & Ziegler, R.
Affiliations
Heidelberg University (DE)
Corresponding author
Ziegler, R.
Venue
The Clinical Investigator
Published
1993
Volume
71
Issue
5
Pages
362-6
ISSN
  • 0946-2716 (ISSN-L)
  • 0941-0198
  • 1432-1440
OpenAlex
W2092891802
Cited by
27
References
2
Citations by year
2022: 2 · 2020: 2 · 2014: 2
FWCI
1.58
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Molecular Medicine (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Lipid metabolism and disorders
  • Health Sciences › Medicine › Surgery › Lipoproteins and Cardiovascular Health
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
Keywords
type III hyperlipoproteinemia, familial hypertriglyceridemia, apolipoprotein E2, VLDL, obesity, xanthoma, atherosclerosis, peripheral vascular disease, serum cholesterol, serum triglycerides, age at diagnosis
MeSH terms
Adult, Apolipoproteins E, Arteriosclerosis, Cholesterol, Female, Homozygote, Humans, Hyperlipoproteinemia Type III, Lipoproteins, VLDL, Male, Middle Aged, Obesity, Triglycerides, Xanthomatosis, Peripheral Vascular Diseases, Apolipoprotein E2

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