Multiple Firm, Painless Erythematous Papules With a Yellowish Hue—Diagnosis
Abstract
Diagnosis: Generalized eruptive xanthomas associated with chylomicronemia syndrome and Frederickson type V hyperlipoproteinemia. Microscopic and laboratory findings and clinical course The punch biopsy specimen demonstrated a dermal infiltrate of foamy cells (lipid-filled macrophages) in small foci surrounded by lymphocytes, histiocytes, and neutrophils. On admission, the patient was treated with insulin and simvastatin for his hyperglycemia and hyperlipidemia. Subsequent laboratory workup (8...