Palmar xanthomata

Published on 05/05/2015 by admin

Filed under Internal Medicine

Last modified 05/05/2015

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175 Palmar xanthomata

Instruction

Examine this patient’s hands.

Salient features

History

• Family history of hyperlipidaemia and coronary artery disease.

Examination

• Yellowish-orange discolorations over the palmar and digital creases (Fig. 175.1 and see Fig. 173.1E)

• Look for the following signs:

• Xanthelasmata around the eyes (Fig. 170.1)
• Tuboeruptive xanthomata around the elbows and knees (Fig. 173.1F)
• Signs of primary biliary cirrhosis (p. 434)

• Tell the examiner that this patient probably has a type III hyperlipidaemia.

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