Eruptive Xanthoma as Alarming Sign of Hypertriglyceridemia in Poorly Controlled Type 2 Diabetes Mellitus
Oswaldo Núñez Almache, Rómulo Lu de Lama, Eliana Chávez Tejada, Oscar Espinoza Robles, Paola Pinto Ibarcena, Martha Calagua Quispe, Miguel De los Santos La Torre, Pamela Azabache Tafur
International Journal of Medical and Pharmaceutical Case Reports · pp. 46–50 · Published 12 Aug 2024
10.9734/ijmpcr/2024/v17i3391Abstract
Eruptive xanthomas may be the phenotypic expression of severe hypertriglyceridemia and are usually located on the surfaces of the extensor areas and buttocks. We present a case of eruptive xanthomas in the extensor areas of the arms and legs associated with severe hypertriglyceridemia in an adolescent diagnosed with diabetes mellitus who was admitted for diabetic ketoacidosis (DKA). After the management of DKA, the use of maintenance insulin therapy and lipid-lowering agents were initiated with a marked reduction in triglycerides and significant improvement in eruptive xanthomas. Proper management of DM and rapid reduction of triglyceride levels were essential in preventing complications such as acute pancreatitis. This article highlights the importance of an adequate management of the diabetic patient and the clinical suspicion of severe hypertriglyceridemia in patients with eruptive xanthoma.
References (15)
- 1 Diabetic Dyslipidemia [DOI]
- 2 Xanthomas: Clinical and pathophysiological relations [DOI]
- 3 Incidence of pancreatitis, secondary causes, and treatment of patients referred to a specialty lipid clinic with severe hypertriglyceridemia: a retrospective cohort study [DOI]
- 4 The Diagnosis and Treatment of Hypertriglyceridemia [DOI]
- 5 Hypertriglyceridemia—Causes, Significance, and Approaches to Therapy [DOI]
- 6 Angiopoietin-like protein 3, a hepatic secretory factor, activates lipolysis in adipocytes [DOI]
- 7 ANGPTL3 is increased in both insulin-deficient and -resistant diabetic states [DOI]
- 8 An unusual presentation of eruptive xanthoma [DOI]
- 9 Eruptive Xanthomas: Importance of Recognition to Reduce Delay of Effective Triglyceride Reduction [DOI]
- 10 Eruptive xanthomas as a marker for metabolic disorders: A specific form of xanthoma that reflects hypertriglyceridemia [DOI]
- 11 Eruptive xanthomas [DOI]
- 12 Eruptive xanthoma associated with hypertriglyeridaemia and diabetes [DOI]
- 13 First and only symptom of undiagnosed diabetes mellitus: eruptive xanthoma [DOI]
- 14 Eruptive xanthomas in a patient with soft-drink diabetic ketosis and apolipoprotein E4/2 [DOI]
- 15 Diabetic lipemia with eruptive xanthomatosis in a lean young female with apolipoprotein E4/4 [DOI]
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