- CDC
- Heart Failure
- Cardiovascular Clinical Consult
- Adult Immunization
- Hepatic Disease
- Rare Disorders
- Pediatric Immunization
- Implementing The Topcon Ocular Telehealth Platform
- Weight Management
- Screening
- Monkeypox
- Guidelines
- Men's Health
- Psychiatry
- Allergy
- Nutrition
- Women's Health
- Cardiology
- Substance Use
- Pediatrics
- Kidney Disease
- Genetics
- Complimentary & Alternative Medicine
- Dermatology
- Endocrinology
- Oral Medicine
- Otorhinolaryngologic Diseases
- Pain
- Gastrointestinal Disorders
- Geriatrics
- Infection
- Musculoskeletal Disorders
- Obesity
- Rheumatology
- Technology
- Cancer
- Nephrology
- Anemia
- Neurology
- Pulmonology
Xanthomata Secondary to Hypertriglyceridemia
A 57-year-old obese woman with known and poorly controlled type 2 diabetes presented with the sudden onset of “yellow bumps all over.” Representative lesions on the back and elbows are shown.
A 57-year-old obese woman with known and poorly controlled type 2 diabetes presented with the sudden onset of “yellow bumps all over.” Representative lesions on the back and elbows are shown.
Key point: This history and clinical picture are nearly pathognomonic for eruptive xanthomas (or xanthomata). Such lesions typically erupt as crops of small, red-yellow papules, most commonly on the buttocks, shoulders, arms, and legs. Lesions may be tender or pruritic. This is a sign of primary or secondary hypertriglyceridemia.
Treatment: Hypertriglyceridemia should be sought and managed (by diet and drugs).
Note: If the patient is not already known to be diabetic, glucose intolerance should be strongly suspected and investigated, since most cases are seen in conjunction with diabetes.
