 These common signs are supportive of the diagnosis, but are non-specific findings.Cholesterol levels may be determined as part of health screening for health insurance or occupational health, when the external physical signs such as xanthelasma, xanthoma, arcus are noticed, symptoms of cardiovascular disease develop, or a family member has been found to have FH.A pattern compatible with hyperlipoproteinemia type IIa on the Fredrickson classification is typically found