Diabetic dyslipidemia with eruptive xanthoma

[摘要] A 21-year-old woman with obesity, type 2diabetes mellitus, and dyslipidemia presented with eruptive lesions on her extremitiesthat fi rst appeared 2 weeks earlier. Yellowishery thematous papules were noted on the extensor surfaces of both arms and thighs (Figure 1). Skin biopsy study showed foamy histiocytesmixed with streaks of connective tissue in thedermis (Figure 2). Her fasting serum triglyceride level was 10,250 mg/dL (reference range <150) and her hemoglobin A1c level was 12.4%(reference range 4%–5.6%). On further questioning, the patient said that she had stoppedtaking her prescribed antidiabetic medicationsand fenofi brate a year previously.

[学科分类] 卫生学