Combined planar and eruptive xanthoma in a patient with type lla hyperlipoproteinemia

摘要

Xanthomas are the characteristic cutaneous presentation in hyperlipoproteinemia, Type Ha hyperlipoproteinemia or familial hypercholesterolemia usually presents with tendinous, tuberous or planar xanthomas (xanthelesma or intertriginous type). We were unable to find previous reports of eruptive xanthomas occurring in association with a planar xanthoma in Type IIa hyperlipoproteinemia. A 4-year-old girl, adopted from distant relatives, born out of a nonconsanguinous marriage presented skin lesions for one year. The lesions appeared as skin colored papules around the ankle and natal cleft one year back. They were progressive in nature, with a sudden eruption of new lesions over the buttocks, knees and thighs for four weeks.