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Lipid Disorder Classification  
tdayspring's blog / Uncategorized / Lipid Disorder Classification
Lipid Disorder Classification
Sep 2, 2009 0 comments Uncategorized Uncategorized
I have been asked to comment on the following case:
Do you need to know LDL particle size (large or small, dense) in order to dx with certainty FH vs. FCHL?  What about a 62 yr. old woman without any hx. of HTN, DM 2,  CHD or its equivalent, with a lipid profile as follows:  TC:  375  Trigs:  239  HDL:  52  LDL:  277.   Glu: 100.  No waist >35"  Family hx. negative for premature CAD, but positive for high cholesterol.  No siblings or children. She has no xanthomas/xanthelasmas.
The providers first impression was FH mixed with secondary dyslipidemic features.  He is going to do a Lipoprotein NMR anyway, but wants to know can you already make the dx of FH?
For my answer - Click on the groups page URL above   Click on the Dayspring Groups and then click on Lipid Geeks
KeywordsKeywords: lipoproteins 
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Thomas Dayspring
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Job Title: Clinical Assistant Professor of Medicine; Director: North Jersey Institute of Menopausal Lipidology
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