Dutch Lipid Clinic Network score for diagnosing familial hypercholesterolaemia.
The Dutch Lipid Criteria — Familial Hypercholesterolaemia is a endocrine scoring tool used in paediatric practice. Dutch Lipid Clinic Network score for diagnosing familial hypercholesterolaemia. It scores 5 criteria and interprets the total across 4 bands, so the number always arrives with the severity it implies rather than on its own. In PediAid each criterion is shown as a labelled option with the weight it carries, so the total can be checked rather than taken on trust.
5. They are Family history; Clinical history (in the patient); Physical examination; LDL cholesterol; DNA analysis.
The total is interpreted as: any score - Unlikely: score 0-2 - familial hypercholesterolaemia unlikely. Address secondary causes and lifestyle; 3 points or more - Possible FH: score 3-5 - possible FH. Confirm with repeat fasting lipids, family cascade screening; 6 points or more - Probable FH: score 6-8 - probable FH. Start lifestyle measures, consider statin therapy from age 8-10 years, and cascade-screen relatives; 9 points or more - Definite FH: score >8 - definite FH. Statin therapy and specialist lipid referral; cascade screening of all first-degree relatives is essential.
No. It is a structured way to record and communicate severity. A clinician concerned about a child should act on that concern regardless of the total.
Only the single highest-scoring option per group is counted. Premature = <55 y in men, <60 y in women.
Yes. Score definitions are bundled with the PediAid app, so the score computes without a connection.