TY  - CHAP
M1  - Book, Section
TI  - Chapter 223. Hyperlipidemia and Xanthomas
A1  - Usatine, Richard P.
A1  - Smith, Mindy A.
A1  - Chumley, Heidi S.
A1  - Mayeaux, E.J.
Y1  - 2013
N1  - 
T2  - The Color Atlas of Family Medicine, 2e
AB  - A  27-year-old  Hispanic  man  reported  new  painful  nonpruritic  bumps,  which  started  6  months  ago,  over  his  entire  body.  The  patient  had  not  seen  a  physician  for  10  months  and  had  run  out  of  his  oral  medicines  for  type  2  diabetes  mellitus.  His  grandmother  had  a  milder  version  of  bumps  like  this  years  ago.  The  firm  yellowish  papules  were  present  all  over  his  body  from  the  neck  down  (Figures  223-1,  223-2,  and  223-3).  Laboratory  evaluation  revealed  a  random  blood  sugar  of  203,  a  fasting  triglyceride  level  greater  than  7000  mg/dL,  and  total  cholesterol  greater  than  700  mg/dL.  High-density  lipoproteins  were  32  mg/dL,  and  there  were  no  chylomicrons  present.  The  patient  was  diagnosed  with  xanthomas,  poorly  controlled  diabetes  mellitus,  and  hyperlipidemia,  and  was  started  on  metformin,  gemfibrozil,  and  a  β-hydroxy-β-methylglutaryl-coenzyme  A  (HMG-CoA)-reductase  inhibitor.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/23
UR  - accessmedicine.mhmedical.com/content.aspx?aid=57685343
ER  -