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・ Familial adenomatous polyposis
・ Familial amyloid cardiomyopathy
・ Familial amyloid neuropathy
・ Familial aortic dissection
・ Familial atrial fibrillation
・ Familial British dementia
・ Familial cirrhosis
・ Familial dysalbuminemic hyperthyroxinemia
・ Familial dysautonomia
・ Familial dysbetalipoproteinemia
・ Familial encephalopathy with neuroserpin inclusion bodies
・ Familial exudative vitreoretinopathy
・ Familial hemiplegic migraine
・ Familial homicide
・ Familial hyperaldosteronism
Familial hypercholesterolemia
・ Familial hypertriglyceridemia
・ Familial hypocalciuric hypercalcemia
・ Familial isolated vitamin E deficiency
・ Familial male-limited precocious puberty
・ Familial Mediterranean fever
・ Familial multiple intestinal atresia
・ Familial myxovascular fibromas
・ Familial partial lipodystrophy
・ Familial progressive hyperpigmentation
・ Familial renal amyloidosis
・ Familial renal disease in animals
・ Familial thoracic aortic aneurysm
・ Familialism
・ Familianten


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Familial hypercholesterolemia : ウィキペディア英語版
Familial hypercholesterolemia

Familial hypercholesterolemia (abbreviated FH, also spelled familial hypercholesterolaemia) is a genetic disorder characterized by high cholesterol levels, specifically very high levels of low-density lipoprotein (LDL, "bad cholesterol"), in the blood and early cardiovascular disease. Since individuals with FH underlying body biochemistry is slightly different, their high cholesterol levels are less responsive to the kinds of cholesterol control methods which are usually more effective in people without FH (such as dietary modification and statin tablets). Nevertheless, treatment (including higher statin doses) is usually effective.
Many people have mutations in the ''LDLR'' gene that encodes the LDL receptor protein, which normally removes LDL from the circulation, or apolipoprotein B (ApoB), which is the part of LDL that binds with the receptor; mutations in other genes are rare. People who have one abnormal copy (are heterozygous) of the ''LDLR'' gene may have premature cardiovascular disease at the age of 30 to 40. Having two abnormal copies (being ''homozygous'') may cause severe cardiovascular disease in childhood. Heterozygous FH is a common genetic disorder, inherited in an autosomal dominant pattern, occurring in 1:500 people in most countries; homozygous FH is much rarer, occurring in 1 in a million births.〔
Heterozygous FH is normally treated with statins, bile acid sequestrants, or other lipid lowering agents that lower cholesterol levels. New cases are generally offered genetic counseling. Homozygous FH often does not respond to medical therapy and may require other treatments, including LDL apheresis (removal of LDL in a method similar to dialysis) and occasionally liver transplantation.〔
== Signs and symptoms ==


抄文引用元・出典: フリー百科事典『 ウィキペディア(Wikipedia)
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