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KMID : 1143020200250030201
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Archives of Hand and Microsurgery
2020 Volume.25 No. 3 p.201 ~ p.206
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Multiple Huge Tendinous Xanthomas with Normal Lipid Profiles in All Extremities
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Seo Du-Heon
Roh Si-Gyun
Shin Jin-Yong
An Mun-Young
Kim Jong-Lim
Chang Suk-Choo
Lee Nae-Ho
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Abstract
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Xanthomas are grayish-yellow masses composed of lipid-filled foamy histiocytes and are usually accompanied by familial hypercholesterolemia or some other disease associated with dysfunctional lipid metabolism. Here, we report a case of multiple huge tendinous xanthomas with normal lipid profiles involving all extremities. These masses were large enough to cause pain, dysfunction of extremities, and cosmetic compromise and the condition was accompanied by cerebrotendinous xanthomatosis. Due to the presence of many masses in all extremities, a two-stage operation was planned with a time gap of several months. At 1-month follow-up visits after first and second surgeries, although extension of the left middle finger was poor as a result of sacrificing the 3rd extensor digitorum communis tendon, no problems such as wound dehiscence, hematoma formation, or infection at operative sites were noted.
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KEYWORD
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Cerebrotendinous xanthomatosis, Tendinous xanthoma, Hypercholesterolemia
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