Pregnancy in a Woman with Homozygous Familial Hypercholesterolemia Not on Low-Density Lipoprotein Apheresis

Pregnancy in women with homozygous familial hypercholesterolemia (FH) has been rarely reported and might pose risks on the mother and her fetus. Although most reported cases remained on low-density lipoprotein (LDL) apheresis, there are no clear guidelines regarding the management of this entity. We...

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Main Authors: Akl C. Fahed, Anwar H. Nassar
Format: Article
Language:English
Published: Thieme Medical Publishers, Inc. 2012-11-01
Series:American Journal of Perinatology Reports
Subjects:
Online Access:https://www.thieme-connect.de/products/ejournals/html/10.1055/s-0032-1305798
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author Akl C. Fahed
Anwar H. Nassar
author_facet Akl C. Fahed
Anwar H. Nassar
author_sort Akl C. Fahed
collection DOAJ
description Pregnancy in women with homozygous familial hypercholesterolemia (FH) has been rarely reported and might pose risks on the mother and her fetus. Although most reported cases remained on low-density lipoprotein (LDL) apheresis, there are no clear guidelines regarding the management of this entity. We report the first case of an uncomplicated pregnancy in a 24-year-old homozygous FH woman who was not maintained on LDL apheresis. FH expresses a wide variability in the phenotype, and management of homozygous FH cases who desire to become pregnant should be individualized based on preconceptional assessment with frequent antenatal follow-up. Decisions on management should be made after weighing the risks versus benefits of LDL apheresis.
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spelling doaj.art-0c451b7866124c70b27126e6c1f5fbac2022-12-22T02:36:49ZengThieme Medical Publishers, Inc.American Journal of Perinatology Reports2157-69982157-70052012-11-01020103303610.1055/s-0032-1305798Pregnancy in a Woman with Homozygous Familial Hypercholesterolemia Not on Low-Density Lipoprotein ApheresisAkl C. Fahed0Anwar H. Nassar1Harvard Medical SchoolAmerican University of Beirut Medical CenterPregnancy in women with homozygous familial hypercholesterolemia (FH) has been rarely reported and might pose risks on the mother and her fetus. Although most reported cases remained on low-density lipoprotein (LDL) apheresis, there are no clear guidelines regarding the management of this entity. We report the first case of an uncomplicated pregnancy in a 24-year-old homozygous FH woman who was not maintained on LDL apheresis. FH expresses a wide variability in the phenotype, and management of homozygous FH cases who desire to become pregnant should be individualized based on preconceptional assessment with frequent antenatal follow-up. Decisions on management should be made after weighing the risks versus benefits of LDL apheresis.https://www.thieme-connect.de/products/ejournals/html/10.1055/s-0032-1305798homozygous familial hypercholesterolemiapregnancyLDL apheresisoutcome
spellingShingle Akl C. Fahed
Anwar H. Nassar
Pregnancy in a Woman with Homozygous Familial Hypercholesterolemia Not on Low-Density Lipoprotein Apheresis
American Journal of Perinatology Reports
homozygous familial hypercholesterolemia
pregnancy
LDL apheresis
outcome
title Pregnancy in a Woman with Homozygous Familial Hypercholesterolemia Not on Low-Density Lipoprotein Apheresis
title_full Pregnancy in a Woman with Homozygous Familial Hypercholesterolemia Not on Low-Density Lipoprotein Apheresis
title_fullStr Pregnancy in a Woman with Homozygous Familial Hypercholesterolemia Not on Low-Density Lipoprotein Apheresis
title_full_unstemmed Pregnancy in a Woman with Homozygous Familial Hypercholesterolemia Not on Low-Density Lipoprotein Apheresis
title_short Pregnancy in a Woman with Homozygous Familial Hypercholesterolemia Not on Low-Density Lipoprotein Apheresis
title_sort pregnancy in a woman with homozygous familial hypercholesterolemia not on low density lipoprotein apheresis
topic homozygous familial hypercholesterolemia
pregnancy
LDL apheresis
outcome
url https://www.thieme-connect.de/products/ejournals/html/10.1055/s-0032-1305798
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