A total of 5000 consecutively sampled newborn screening cards were ano
nymously selected for screening for the apolipoprotein B-3500 (apo B-3
500) mutation, which causes familial defective apolipoprotein B-100 (F
DB). The mutation was found in 5 of 5000 Danish children, of whom 2 we
re twins. This indicates a lower prevalence of this mutation in Danes
than that reported in the UK, Germany, USA, Austria, Canada and especi
ally Switzerland. Haplotype studies suggest that Caucasian subjects wi
th the apo B-3500 mutation have a common founder. The apparently lower
prevalence in Denmark than in Switzerland and Central Europe may indi
cate that the mutation was brought from these areas to Denmark after t
he initial settling of Denmark. In 101 unrelated Danish subjects with
familial hypercholesterolemia, diagnosed on clinical and biochemical c
riteria including tendon xanthomata, 2 were heterozygous for the apo B
-3500 mutation (2%).