医師国家試験 第120回 問312
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A 64-year-old man. He visited the family physician for an abnormal finding in the annual health check-up. He quit smoking three years ago. He does not have any history of stroke, coronary heart disease, or peripheral artery disease. He is currently not on any medication. His body measurements are as follows:height 170cm, weight 65kg, waist circumference 81cm, blood pressure 128/74mmHg. His fasting blood test results are as follows:LDL cholesterol 183mg/dL, HDL cholesterol 58mg/dL, triglycerides 130mg/dL, glucose 102mg/dL, HbA1c 5.5% (reference range 4.9-6.0), creatinine 0.76mg/dL. Which of the following best describes the manʼs condition?
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Dyslipidemia
LDLコレステロールが183mg/dLと140mg/dL以上の基準を大きく超えており、脂質異常症(高LDLコレステロール血症)に該当します。血圧128/74mmHgは高血圧の基準に達せず、空腹時血糖102mg/dLとHbA1c5.5%は糖尿病の診断基準を満たしません。BMIは約22.5で腹囲も81cmと基準内であり、肥満やメタボリックシンドロームにも該当しません。