title: Familial hypercholesterolemia presenting with multiple nodules of the hands and elbow.
abstract: Familial hypercholesterolemia (FH) is a common but commonly missed diagnosis. Tendon xanthomas are a physical sign strongly suggestive of FH. Physicians must identify tendon xanthomas, apply validated clinical scoring such as the Dutch Lipid Clinic Network criteria and offer cascade screening. This approach will increase recognition of FH.
authors.affiliation: Department of Medicine, Eric Williams Medical Sciences Complex, The University of the West Indies Champs Fleurs, Trinidad and Tobago.
authors.forename: Satish
authors.initials: S
authors.lastname: Maharaj
authors.affiliation: Department of Medicine, Eric Williams Medical Sciences Complex, The University of the West Indies Champs Fleurs, Trinidad and Tobago.
authors.forename: Simone
authors.initials: S
authors.lastname: Chang
authors.affiliation: Department of Preclinical Sciences, Faculty of Medical Sciences, The University of the West Indies Champs Fleurs, Trinidad and Tobago.
authors.forename: Shivananda B
authors.initials: SB
authors.lastname: Nayak
keywords: Caribbean; cascade screening; diagnosis; familial hypercholesterolemia; xanthoma