How is sitosterolemia (phytosterolemia) treated?

Updated: May 24, 2019
  • Author: Robert D Steiner, MD; Chief Editor: Luis O Rohena, MD, MS, FAAP, FACMG  more...
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Answer

Treatment of sitosterolemia may include dietary changes, pharmacologic agents, and/or surgical intervention. A diet low in plant sterols may be recommended. Bile acid-binding resins may be administered. An ileal bypass may be indicated. However, even with treatment, plant sterol levels may not be reduced to normal. [23] Ezetimibe has become the treatment of choice. After 3 years of treatment in a young child, carotid artery intima media thickness (cIMT) was stable in diameter and arterial wall echogenicity had improved. [24] Arthritis may require treatment. Treat chronic anemia and/or thrombocytopenia, if present.


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