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Hyperlipidemia, Pediatric

Zeina M. Nabhan, MD Reviewed 10/2018
 


BASICS

DESCRIPTION

Hyperlipidemia is an elevation of serum lipids. These lipids include cholesterol, cholesterol esters (compounds), phospholipids, and triglycerides. Lipids are transported as part of ...

DIAGNOSIS

HISTORY

  • Family history of premature heart disease or dyslipidemia:

    • Almost all cases of primary hyperlipidemia are of dominantly inherited.

  • Smoking:

    • Smoking reduces HDL cholesterol levels and inc...

TREATMENT

GENERAL MEASURES

  • Outpatient management unless secondary hyperlipidemia caused by liver or renal failure, which necessitates inpatient management of primary illness. Note: The cause of seconda...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

  • For patients with primary hyperlipidemia off medication, follow-up should be performed every 1 to 2 years with lipoprotein profile. For those pa...

ADDITIONAL READING

  • Daniels SR, Greer FR; for Committee on Nutrition. Lipid screening and cardiovascular health in childhood. Pediatrics.  2008;122(1):198–208. [View Abstract on OvidInsights]

  • Giddi...

CODES

ICD9

  • 272.4 Other and unspecified hyperlipidemia

  • 272.0 Pure hypercholesterolemia

  • 272.1 Pure hyperglyceridemia

ICD10

  • E78.5 Hyperlipidemia, unspecified

  • E78.0 Pure hypercholesterolemia

  • E78.1 Pure hyperglyc...

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