DOI: 10.36347/sjams.2018.v06i03.085

Pages: 1235-1238

Dyslipidemias are among the most common hereditary diseases, their early diagnosis is essential for the health of the child in adulthood. Exact knowledge of family history is crucial for primary diagnosis as well as for the overall assessment. We report the case of an 11-year-old girl, with family history of dyslipidemia, revascularized ischemic heart disease before the age of 50 years. She had xanthomas since the age of 3, and a biological dyslipidemia found at the age of 5. Initially started on colestyramine 4g / day then atorvastatin 40 mg and ezetimibe 10 mg / day. The diagnosis of familial hypercholesterolemia of genetic appearance, type IIa was made. Lipid metabolism abnormalities are significant risk factor for the early development of arteriosclerotic lesions and should be diagnosed and treated as early as possible. The management of dyslipidemia in children is complex including an increase in physical activities, the prevention of risk factors and a medical treatment with statins as a first choice since the age of 8 years.