Hyperlipoproteinemia
{{{Name|Hyperlipoproteinemia}}}
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| ICD-10
| E78
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| ICD-9
| 272.0-272.4
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Hyperlipoproteinemia is the presence of elevated levels of lipoproteinin the blood. Lipids(fatty molecules) are transported in a proteincapsule, and the density of the lipids and type of protein determines the fate of the particle and its influence on metabolism.
Although the terms hyperlipoproteinemia and hypercholesterolemiaare often used interchangeably, the former is more specific. The term "hyperchylomicronemia" is used for an excess of chylomicrons.
Hyperlipoproteinemias are classified according to the Fredrickson/WHO classification (Fredrickson et al 1967), which is based on the pattern of lipoproteins on electrophoresisor ultracentrifugation.
Inhaltsverzeichnis
- 1 Hyperlipoproteinemia type I
- 2 Hyperlipoproteinemia type II
- 3 Hyperlipoproteinemia type III
- 4 Hyperlipoproteinemia type IV
- 5 Hyperlipoproteinemia type V
- 6 Unclassified forms
- 7 References
- 8 External links
- 8.1 General
- 8.2 Type I
- 8.3 Type II
- 8.4 Type III
- 8.5 Type IV
- 8.6 Type V
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Hyperlipoproteinemia type I
This very rare form (also known as "Buerger-Gruetz syndrome", "Primary hyperlipoproteinaemia", or "familial hyperchylomicronemia"), is due to high chylomicrons, the particles that transfer fatty acids from the digestive tractto the liver.
Hyperlipoproteinemia type II
Hyperlipoproteinemia Type II is hyperlipidemia(hypercholesterolemia) in the Fredrickson classification, which is determined by lipoproteinelectrophoresis.
Hyperlipoproteinemia type II is further classified into:
- Type IIa (elevated LDLonly)
- Polygenic hypercholesterolaemia
- Familial hypercholesterolemia(FH)
- Type IIb - combined hyperlipidemia(elevated LDLand VLDL, leading to high triglycerideslevels)
- Familial combined hyperlipoproteinemia
- Secondary combined hyperlipoproteinemia
Hyperlipoproteinemia type III
This form is due to high chylomicronsand IDL (intermediate density lipoprotein).
Hyperlipoproteinemia type IV
This form is due to high triglycerides. It is also known as "hyperglyceridemia" (or "pure hyperglyceridemia".
Hyperlipoproteinemia type V
This type is very similar to Type I, but with high VLDL.
Unclassified forms
Non-classified forms are extremely rare:
- Hypo-alpha lipoproteinemia
- Hypo-beta lipoproteinemia
References
- Fredrickson DS, Levy RI, Lees RS. Fat transport in lipoproteins: an integrated approach to mechanisms and disorders. N Engl J Med1967;276:148-156. PMID 5334266.
External links
General
- The Fredrickson papers (with photos from early lipoprotein research
- GP notebook
Type I
Type II
Type III
Type IV
Type V
This article is licensed under the GNU Free Documentation License. It uses material from the http://en.wikipedia.org/wiki/Hyperlipoproteinemia Wikipedia article Hyperlipoproteinemia.
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