Familial Homozygous Hypercholesterolemia is a genetic disorder characterized by extremely high levels of Low-Density Lipoprotein (LDL) cholesterol. This condition leads to aggressive and premature cardiovascular disease. It is inherited in an autosomal recessive manner, meaning it requires two copies of the mutated gene to develop the disorder.

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High Cholesterol, Familial Homozygous FAQ


What is familial homozygous hypercholesterolemia?

Familial Homozygous Hypercholesterolemia is a rare genetic disorder that leads to extremely high levels of LDL cholesterol, increasing the risk of early and aggressive cardiovascular disease.

How is familial homozygous hypercholesterolemia inherited?

It is inherited in an autosomal recessive pattern, meaning both parents must pass on a copy of the mutated gene for the disorder to develop.

What are the symptoms of familial homozygous hypercholesterolemia?

Common symptoms include xanthomas, chest pain, and heart attacks at an early age due to the buildup of cholesterol in the arteries.

How is familial homozygous hypercholesterolemia diagnosed?

Diagnosis involves genetic testing, lipid profiles, and physical examinations to confirm the presence of extremely high cholesterol levels and related symptoms.

What are the available treatments for familial homozygous hypercholesterolemia?

Available treatments include cholesterol-lowering medications, lifestyle modifications, and, in some cases, apheresis to remove LDL cholesterol from the blood.

Can familial homozygous hypercholesterolemia be managed with medication alone?

Medication is crucial for managing this condition, but lifestyle changes such as a heart-healthy diet and regular exercise are also essential for effective management.

What is the role of genetics in familial homozygous hypercholesterolemia?

Genetic mutations in the LDLR, APOB, or PCSK9 genes disrupt the body's ability to remove LDL cholesterol from the bloodstream, leading to the development of this condition.

Are there specific dietary recommendations for people with familial homozygous hypercholesterolemia?

Yes, a low-cholesterol and low-saturated fat diet can help in managing cholesterol levels. Consult a healthcare professional for personalized dietary guidance.

What are the potential complications of familial homozygous hypercholesterolemia?

Complications include early-onset cardiovascular disease, narrowed or blocked arteries, and an increased risk of heart attacks and strokes.

How does familial homozygous hypercholesterolemia differ from other forms of high cholesterol?

It differs as it is a genetic disorder, leading to much higher LDL cholesterol levels from birth, resulting in severe cardiovascular complications.

Is familial homozygous hypercholesterolemia curable?

While there is no cure, proper management through medication, lifestyle changes, and ongoing medical care can significantly reduce the risk of cardiovascular complications.

Can children be affected by familial homozygous hypercholesterolemia?

Yes, children can inherit this condition if both parents are carriers of the mutated gene. Early diagnosis and intervention are crucial for managing the condition in children.

How can individuals with familial homozygous hypercholesterolemia improve heart health?

Adopting heart-healthy habits such as regular exercise, quitting smoking, managing stress, and adhering to medication regimens can significantly improve heart health.

Yes, genetic counseling can provide valuable information about the risk of passing on the condition, available genetic testing, and strategies for family planning.

What should individuals with familial homozygous hypercholesterolemia discuss with their healthcare provider?

It is important to discuss medication adherence, treatment goals, potential side effects, and the importance of regular monitoring and follow-up appointments with the healthcare provider.

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Information provided by Maryam Abdullahi-Mahdi. Reviewed by Mr. Matthew Liew