Familial hypercholesterolemia with alt elevation: a case report

Familial hypercholesterolemia (FH) is a hereditary condition associated with elevated cardiovascular risk, primarily due to increased LDL levels from a young age. In some cases, total cholesterol and triglycerides are also elevated. This case highlights the variable onset of FH within a family, elevated liver enzymes during statin therapy, and the need for a more aggressive treatment approach. Treatment included dose adjustments of statins and the addition of ezetimibe, with close monitoring for adverse events. Personalized management of FH is essential, balancing the need to control hyperlipidemia and reduce cardiovascular risk against potential liver enzyme elevation from statin therapy.