Dilated cardiomyopathy with familial hypercholesterolemia in a six-year-old boy

Abstract

Familial hypercholesterolemia, especially homozygous type is one of the risk factors of coronary atherosclerosis. Atherosclerosis-related diseases are the leading causes of death in the world. In this report, we presented a six-year-old boy with familial hypercholesterolemia and dilated cardiomyopathy secondary to coronary atherosclerosis. The family history revealed consanguinity between the parents. His parents and brother were also hypercholestero-lemic. Two of his uncles had died from early myocardial diseases. Unfortunately, the patient died because of late diagnosis. The therapy of homozygous familial hypercholesterolemia should start as early as possible, before symptoms appear. Therefore, pediatrician should identify primary hyperlipidemia in childhood.