Unilateral Multiple Tuberous Xanthomas Mimicking Multiple Lipomatosis in Type IIa Hypercholesterolemia- A Case Report with Review

Abstract

Madhuri K.1 , Yugank Anand2 , Vamseedhar Annam3 , Prakash C. J.4 , Shreya D. Prabhu5 , Harshitha K. S.6

The term Xanthoma was derived from a Greek word “Xanthos” meaning yellow and was generally used to describe lipid deposits in the subcutaneous plane.1 They do not represent a particular disease, but are cutaneous markers for dyslipidaemia or may even arise without any underlying metabolic defect.2 Tuberous xanthomas present as yellow or reddish nodules located mainly over the extensor surface of the extremities and buttocks.1 They may be confused with lipomas. Early diagnosis and treatment may help to prevent complications such as coronary artery disease, myocardial infarction and pancreatitis.3 We here report a case of unilateral multiple tuberous xanthomas in a young lady with elevated Low density lipoprotein levels consistent with familial hypercholesterolemia Type IIa.

image