A 19-year-old Man with Myocardial Infarction and Sitosterolemia

• Published in: Internal Medicine Vol. 42; no. 7; pp. 591 - 594
• Main Authors: KATAYAMA, Shingo, SATOH, Toru, YAGI, Takashi, HIROSE, Nobuyoshi, KURITA, Yasuo, ANZAI, Toshihisa, ASAKURA, Yasushi, YOSHIKAWA, Tsutomu, MlTAMURA, Hideo, OGAWA, Satoshi
• Format: Journal Article
• Language: English
• Published: Tokyo The Japanese Society of Internal Medicine 01.07.2003; Japanese Society of Internal Medicine
• Subjects: Adult; Age Factors; Biological and medical sciences; Cardiology. Vascular system; cholestyramine; Coronary Artery Disease - etiology; Coronary heart disease; Disease Progression; Errors of metabolism; Heart; Humans; juvenile myocardial infarction; Lipid Metabolism, Inborn Errors - complications; Lipid Metabolism, Inborn Errors - diagnosis; Lipid Metabolism, Inborn Errors - genetics; Lipids (lysosomal enzyme disorders, storage diseases); Male; Medical sciences; Metabolic diseases; Myocardial Infarction - blood; Myocardial Infarction - etiology; plant sterol; Sitosterols - blood; xanthomatosis; Human; Xanthomatosis; Skin disease; Colestyramine; Infarct; Etiopathogenesis; Cardiovascular disease; Metabolic diseases; Lipids; Male; Coronary heart disease; Enzymopathy; Myocardial disease; plant sterol; juvenile myocardial infarction; Case study; Sitosterol; cholestyramine; Concomitant disease; Adolescent; Myocardium; Hyperlipemia; Diagnosis; Sterol
• ISSN: 0918-2918; 1349-7235
• DOI: 10.2169/internalmedicine.42.591

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. (Internal Medicine 42: 591-594, 2003) Note: An erratum has been published for this article. Please visit “Internal Medicine 47: 191, 2008” on J-STAGE.