Yellow palms and feet in a child

摘要

The?yellowish?discoloration?of?the?palms?and?skin?is?reported?under?different?terms:?xanthodermia,?hypercarotenemia,?carotenemia,?carotenodermia.?Yellow?discoloration?of?the?skin?may?be?associated?with?carotenemia,?hypothyroidism,?diabetes?mellitus,?hyperlipoproteinemia,?liver?disease,?and?renal?disease,?meaning?that?carotenemia?is?not?synonym?with?yellow?skin,?but?rather?one?of?the?cause.?We?presented?an?8?year‐old?boy?with?a?yellow?discoloration?of?the?palms?and?soles,?observed?by?the?mother?3?weeks?prior?to?medical?examination.?The?discoloration?was?uniformly?distributed,?rather?symmetrically,?no?nails?changes,?just?a?mild?xerosis?palmaris?on?the?right?hypotenar?area.?In?lab?investigations?only?were:?hypercholesterolemia.?The?final?diagnosis?was?xanthodermia?in?context?of?hyperlypoproteinemia?type?II?A.