Hypobetalipoprotéinemia, familial

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Familial Hypobetalipoproteinemia
Synonyms
Pronounce
Specialty Endocrinology, Genetics
Symptoms
Complications
Onset
Duration
Types
Causes Genetic mutations
Risks
Diagnosis Blood tests, genetic testing
Differential diagnosis
Prevention
Treatment Dietary modifications
Medication
Prognosis
Frequency
Deaths


Familial Hypobetalipoproteinemia (FHBL) is a rare genetic disorder characterized by low levels of low-density lipoprotein (LDL) cholesterol in the blood. This condition is caused by mutations in specific genes that are involved in the metabolism of lipoproteins, which are particles that transport cholesterol and other fats through the bloodstream. FHBL can lead to various health issues, including fat malabsorption and neurological problems due to vitamin E deficiency.

Causes[edit | edit source]

FHBL is primarily caused by mutations in the APOB gene, which encodes the apolipoprotein B (apoB), a critical component of LDL particles. Mutations in this gene can lead to the production of a truncated form of apoB, resulting in the formation of LDL particles that are rapidly cleared from the bloodstream.

Symptoms[edit | edit source]

Individuals with FHBL may be asymptomatic or present with symptoms related to fat malabsorption, such as steatorrhea (fatty stools) and deficiencies in fat-soluble vitamins (A, D, E, K). Neurological symptoms may occur due to vitamin E deficiency, including peripheral neuropathy and ataxia.

Diagnosis[edit | edit source]

Diagnosis of FHBL involves blood tests that show low levels of LDL cholesterol and apolipoprotein B. Genetic testing can confirm the presence of mutations in the APOB gene or other genes associated with the condition.

Treatment[edit | edit source]

Treatment for FHBL focuses on managing symptoms and preventing complications. Dietary modifications to ensure adequate intake of fat-soluble vitamins and supplementation with vitamin E may be recommended. Regular follow-up with a healthcare provider is important to monitor for potential complications.

See also[edit | edit source]

Hypobetalipoprotéinemia, familial Resources
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Contributors: Prab R. Tumpati, MD