Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website http://www.journalmc.org

Case Report

Volume 2, Number 2, April 2011, pages 44-47


Successful Treatment of Statin Resistant Hypercholesterolemia by an Inhibitor of Cholesterol Absorption, Ezetimibe

Figure

Figure 1.
Figure 1. Clinical Course. The reduction rate of LDL-Cho by rosuvastatin was only 5.4 %, and the rate was remarkably increased to 53.4% by adding ezetimibe.

Table

Table 1. Laboratory Findings
 
CBC
The values, except for TSH and the apolipoprotein profile, were obtained before initiating the drugs. TSH and the apolipoprotein profile were obtained 6 weeks after initiating 2.5 mg of losuvastatin and 10 mg of ezetimibe, when T Cho and LDL-Cho were 232 mg/dl and 136 mg/dl, respectively.
WBC4880/µL
Hb13.7 g/dL
Plt21.5 x 104/µL
BC
The values, except for TSH and the apolipoprotein profile, were obtained before initiating the drugs. TSH and the apolipoprotein profile were obtained 6 weeks after initiating 2.5 mg of losuvastatin and 10 mg of ezetimibe, when T Cho and LDL-Cho were 232 mg/dl and 136 mg/dl, respectively.
TP7.3 g/dL
Alb4.2 g/dL
BUN15 mg/dL
Cr0.62 mg/dL
UA3.8 mg/dL
Na141.7 mEq/L
K4.59 mEq/L
Cl102.3 mEq/L
Ca9.4 mg/dL
AST15 IU/L
ALT11 IU/L
CK63 IU/L
TCho303 mg/dL
HDL-Cho65 mg/dL
LDL-Cho204 mg/dL
TG146 mg/dL
TSH3.412 µIU/mL
Lipoprotein Fraction
The values, except for TSH and the apolipoprotein profile, were obtained before initiating the drugs. TSH and the apolipoprotein profile were obtained 6 weeks after initiating 2.5 mg of losuvastatin and 10 mg of ezetimibe, when T Cho and LDL-Cho were 232 mg/dl and 136 mg/dl, respectively.
α32%
Pre β20%
β48%
Apolipoprotein Profile
The values, except for TSH and the apolipoprotein profile, were obtained before initiating the drugs. TSH and the apolipoprotein profile were obtained 6 weeks after initiating 2.5 mg of losuvastatin and 10 mg of ezetimibe, when T Cho and LDL-Cho were 232 mg/dl and 136 mg/dl, respectively.
A-I167 mg/dL
A-II39.5 mg/dL
C-II5.0 mg/dL
C-III11.1 mg/dL
E3.0 mg/dL