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Abstract
Xanthoma is a deposition of cholesterol in the soft tissues. It is an uncommon presentation of hypercholesterolemia and/or
diabetes mellitus (DM). We are reporting a case of 60-year-old female who presented with multiple xanthomas over extensor
tendons of both hands and elbows. Her investigations revealed raised triglycerides, very high plasma cholesterol, very lowdensity lipoprotein (VLDL) and low-density lipoprotein (LDL) levels. Fasting and postprandial sugar levels were also increased.
A work-up for cardiovascular involvement was normal and biopsy from one of the nodules showed the xanthoma cells.
*Associate Professor
Dept. of Skin and VD, MGIMS, Sewagram, Wardha, Maharashtra
**Associate Professor
Dept. of Medicine, MGIMS, Sewagram, Wardha, Maharashtra
Address for correspondence
Dr Sonia Jain
A-13, Dhanvantri Nagar, MGIMS, Sewagram, Wardha, Maharashtra - 442102
E-mail: soniapjain@rediffmail.com
804
Indian Journal of Clinical Practice, Vol. 23, No. 12, May 2013
Diabetology
923
150-250
314
100-160
255
30-60
354
10-30
Triglycerides (mg/dl)
231
50-150
FBS (mg/dl)
159
80-120
PP2BS (mg/dl)
234
180-200
Indian Journal of Clinical Practice, Vol. 23, No. 12, May 2013
805