RT Book, Section
A1 Smith, Mindy A.
A2 Usatine, Richard P.
A2 Smith, Mindy A.
A2 Mayeaux, Jr., E.J.
A2 Chumley, Heidi S.
SR Print(0)
ID 1164349960
T1 Hyperlipidemia and Xanthomas
T2 The Color Atlas and Synopsis of Family Medicine, 3e
YR 2019
FD 2019
PB McGraw-Hill Education
PP New York, NY
SN 9781259862045
LK dermatology.mhmedical.com/content.aspx?aid=1164349960
RD 2024/04/19
AB A  27-year-old  Hispanic  man  reported  new  painful  nonpruritic  bumps,  which  started  6  months  ago,  over  his  entire  body.  The  patient  had  not  seen  a  physician  for  10  months  and  had  run  out  of  his  oral  medicines  for  type  2  diabetes  mellitus.  His  grandmother  had  a  milder  version  of  bumps  like  this  years  ago.  The  firm  yellowish  papules  were  present  all  over  his  body  from  the  neck  down  (Figures  232-1,  232-2,  232-3).  Laboratory  evaluation  revealed  a  random  blood  sugar  of  203,  a  fasting  triglyceride  level  greater  than  7000  mg/dL,  and  total  cholesterol  greater  than  700  mg/dL.  High-density  lipoproteins  were  32  mg/dL,  and  there  were  no  chylomicrons  present.  The  patient  was  diagnosed  with  xanthomas,  poorly  controlled  diabetes  mellitus,  and  hyperlipidemia,  and  was  started  on  metformin,  gemfibrozil,  and  a  β-hydroxy-β-methylglutaryl-coenzyme  A  (HMG-CoA)-reductase  inhibitor.