Hyperlipidaemia: xanthomata
Characteristic xanthomata seen in hyperlipidaemia:
Palmar xanthoma
Eruptive xanthoma are due to high triglyceride levels and present as multiple red/yellow vesicles on the extensor surfaces (e.g. elbows, knees)
Causes of eruptive xanthoma
Tendon xanthoma, tuberous xanthoma, xanthelasma
Xanthelasma are also seen without lipid abnormalities
Management of xanthelasma, options include:
Palmar xanthoma
- remnant hyperlipidaemia
- may less commonly be seen in familial hypercholesterolaemia
Eruptive xanthoma are due to high triglyceride levels and present as multiple red/yellow vesicles on the extensor surfaces (e.g. elbows, knees)
Causes of eruptive xanthoma
- familial hypertriglyceridaemia
- lipoprotein lipase deficiency
Tendon xanthoma, tuberous xanthoma, xanthelasma
- familial hypercholesterolaemia
- remnant hyperlipidaemia
Xanthelasma are also seen without lipid abnormalities
Management of xanthelasma, options include:
- surgical excision
- topical trichloroacetic acid
- laser therapy
- electrodesiccation