| Summary points: | A 6-year-old with history of frequent episodes of headache and vomiting presents with multiple nodular swellings over the elbows and wrists first noticed 3 years earlier. This case report describes the family history, the clinical examination, blood work and radiological findings, and includes some images. The authors discuss the pathogenesis of familial hypercholesterolaemia and the recommended management of children with this condition. |