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KMID : 0363220070450020218
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Korean Journal of Dermatology
2007 Volume.45 No. 2 p.218 ~ p.220
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A Case of Type 4 Hyperlipoproteinemia and Eruptive Xanthoma Associated with Diabetes Mellitus
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Lee Yong-Hwan
Kim Soo-Ho
Suh Moo-Kyu
Park Soo-Keun
Jang Suk-Yong
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Abstract
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We report a case of type IV hyperlipoproteinemia and eruptive xanthoma associated with diabetes mellitus in a 38-year-old male patient. He had multiple, erythematous, yellowish papules on the trunk, extremities and buttocks. Laboratory examinations showed an increase in serum blood glucose, cholesterol and triglyceride. Lipoprotein electrophoresis revealed increased pre-beta bands and a plasma standing test showed turbid plasma. Analysis of lipoprotein revealed an increase of triglyceride levels in the plasma. A skin biopsy from the lesion revealed a xanthoma. We diagnosed the patient as having type IV hyperlipoproteinemia with eruptive xanthoma. After 3 months of treatment with diet restrictions and fenofibrate, the serum level of triglyceride was reduced to a normal level, and the skin lesions disappeared.
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KEYWORD
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Diabetes mellitus, Eruptive xanthoma, Hyperlipoproteinemia
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