Journal
INTERNAL MEDICINE
Volume 42, Issue 7, Pages 591-594Publisher
JAPAN SOC INTERNAL MEDICINE
DOI: 10.2169/internalmedicine.42.591
Keywords
juvenile myocardial infarction; plant sterol; cholestyramine; xanthomatosis
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This is a case report of a 19-year-old man who presented with acute myocardial infarction with obstruction of one coronary artery and rapid progression to three vessels in 8 months. He was proved to have sitosterolemia, a rare hereditary disease with plant sterol storing, resulting in juvenile coronary artery disease. Atherosclerotic complications can be preventable by administration of bile acid-binding resin, after the correct diagnosis is made. We introduce this disease with a review of the literature.
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