Sitosterolemia: A Case Report and a Concise Literature Review

Background. Sitosterolemia is a relatively rare metabolism lipid disorder, with about 110 cases worldwide and only a few known cases from the Middle East. Sitosterolemia is characterized by excessive uptake of phytosterols and their deposition in various tissues, leading to complications. Mutations...

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Main Author: Moeber M. Mahzari
Format: Article
Language:English
Published: Wiley 2023-01-01
Series:Case Reports in Endocrinology
Online Access:http://dx.doi.org/10.1155/2023/4451595
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author Moeber M. Mahzari
author_facet Moeber M. Mahzari
author_sort Moeber M. Mahzari
collection DOAJ
description Background. Sitosterolemia is a relatively rare metabolism lipid disorder, with about 110 cases worldwide and only a few known cases from the Middle East. Sitosterolemia is characterized by excessive uptake of phytosterols and their deposition in various tissues, leading to complications. Mutations in the ABCG5 and ABCG8 genes are associated with pathological changes in sitosterolemia. Case Presentation. An adult patient from Saudi Arabia with dyslipidemia who did not respond to statin therapy. Based on genetic testing, the patient was eventually diagnosed with sitosterolemia. Ezetimibe significantly improved his cholesterol levels. Conclusion. The diagnosis of sitosterolemia is confirmed by the detection of high-phytosterol levels and pathological mutation in the ABCG5 and ABCG8 genes. Treatment of sitosterolemia is based on dietary changes and drugs to inhibit cholesterol absorption, such as ezetimibe.
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spelling doaj-art-cfeb7a4c3de14c5d930d8c75ae67db6a2025-08-20T03:24:59ZengWileyCase Reports in Endocrinology2090-651X2023-01-01202310.1155/2023/4451595Sitosterolemia: A Case Report and a Concise Literature ReviewMoeber M. Mahzari0College of MedicineBackground. Sitosterolemia is a relatively rare metabolism lipid disorder, with about 110 cases worldwide and only a few known cases from the Middle East. Sitosterolemia is characterized by excessive uptake of phytosterols and their deposition in various tissues, leading to complications. Mutations in the ABCG5 and ABCG8 genes are associated with pathological changes in sitosterolemia. Case Presentation. An adult patient from Saudi Arabia with dyslipidemia who did not respond to statin therapy. Based on genetic testing, the patient was eventually diagnosed with sitosterolemia. Ezetimibe significantly improved his cholesterol levels. Conclusion. The diagnosis of sitosterolemia is confirmed by the detection of high-phytosterol levels and pathological mutation in the ABCG5 and ABCG8 genes. Treatment of sitosterolemia is based on dietary changes and drugs to inhibit cholesterol absorption, such as ezetimibe.http://dx.doi.org/10.1155/2023/4451595
spellingShingle Moeber M. Mahzari
Sitosterolemia: A Case Report and a Concise Literature Review
Case Reports in Endocrinology
title Sitosterolemia: A Case Report and a Concise Literature Review
title_full Sitosterolemia: A Case Report and a Concise Literature Review
title_fullStr Sitosterolemia: A Case Report and a Concise Literature Review
title_full_unstemmed Sitosterolemia: A Case Report and a Concise Literature Review
title_short Sitosterolemia: A Case Report and a Concise Literature Review
title_sort sitosterolemia a case report and a concise literature review
url http://dx.doi.org/10.1155/2023/4451595
work_keys_str_mv AT moebermmahzari sitosterolemiaacasereportandaconciseliteraturereview