Tuesday, October 12, 2010

Lipids and the skin

1. Xanthelasma: cholestrol deposits under the skin, typically around the eye - often called xanthelasma palpebrarum. Usually yellowish/whitish and flat.









2. Eruptive xanthoma: can be pruritic, and may resolve over a few weeks. Often seen in patients with diabetes and hyperlipidemia. Pustular on an erythematous base.










3. Tendon xanthoma: classically a slowly appearing nodule on the extensor tendons of hands and feet.










4. Lipemia retinalis: Very high levels of triglycerides (>400 in the USA, >40 in the rest of the world). You can see a milky colouration to the retinal vessels.










A neat link from NEJM on lipemia retinalis over here.

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