Description

Mr. DJB, a 63 years old circus agent, was referred
by his general practitioner for investigation and
management of high lipids. His serum cholesterol
was 12mmol/L and triglyceride was 5.35 mmol/L.
He initially did well on questran, but his lipid profile
d ri fted up and th e re a fter was given a trial of
Bezafibrate. He defaulted from follow up and represented
with total cholesterol of 16.6 mmol/L and
his treatment was changed to pravastatin 40mg daily.
His cholesterol decreased to 9mmol/L and he was
started on simvastatin 40 mg daily. He again failed
to attend follow clinic as simvastatin made him feel
unwell. Meanwhile he underwent an elective repair
of abdominal aortic aneurysm, following which he
re qu e sted tra n s fer to our hospital for furth e
management of his hyperlipidaemia.