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Living with Sitosterolemia

A genetic condition in which plant fats build up in the blood and tissues, sometimes causing fatty skin bumps and joint pain.

Understanding Sitosterolemia

Sitosterolemia is a genetic condition in which plant fats (plant sterols) from foods like vegetable oils and nuts build up in the blood and tissues.

Sitosterol is one of the plant sterols, and its blood level can be 30 to 100 times normal. Cholesterol may also be raised, especially in some children. Signs can start early in life after plant-sterol foods are eaten, though some people have no symptoms. Fatty deposits can narrow the arteries from childhood. Yellowish growths (xanthomas) can appear on the skin and tendons, and joint stiffness and pain can occur.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Yellow fatty bumps on the skin (xanthomas)
  • Joint pain
  • Early artery narrowing (atherosclerosis)
  • Anemia from red blood cell breakdown
  • Enlarged spleen
  • Large, low platelets (macrothrombocytopenia)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include genetic specialists and hormone specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Foundation of the National Lipid Association may keep lists of experts for this condition.

Care & treatment

Care team
Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Expert lists: Foundation of the National Lipid Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Foundation of the National Lipid Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which blood tests check plant sterol and cholesterol levels?
How should my diet change?
How often should my heart and arteries be checked?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Recessive

GARD says changes in genes cause this condition, but it doesn't list a gene. A child inherits a changed copy of the gene from each parent (autosomal recessive).

GeneticEndocrineInherited Metabolic

Also known as: phytosterolemia; stsl

Patient organizations

Source: NIH GARD · SitosterolemiaGARD ID 7653 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Sitosterolemia.

Explore the Sitosterolemia blog

Explore research for Sitosterolemia

Explore actively recruiting Sitosterolemia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Sitosterolemia with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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