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ABSTRACT:
Xanthomas are seen commonly in hyperlipedimias. Here we are reporting a rare case of type IIa hyperlipidemia diagnosed in 4 year old child who presented with multiple Xanthomas. This case report underlines the importance of recognizing xanthomas at the early stage so as to permit early diagnoses and treatment of the underlying hyperlipidemias and prevent the severe and inevitable coronary complication of lipid derangement especially in the children.
Key words: Xanthoma, Hyperlipidemia, Lipoprotein disorder.
INTRODUCTION
Many patients with lipoprotein disorders have increased risk of premature atherosclerosis and some develop Xanthomas and these acts as a cutaneous marker for the lipoprotein disorder.[1] Xanthomas are lesions due to accumulation of lipid-laden macrophages. Xanthomas are commonly caused by a disturbance of lipoprotein. They indicate a systemic alteration of cholesterol and / or triglyceride metabolism. When they do occur in children and adolescents a more severe form of hyperlipidemia should be suspected. Prompt diagnosis and treatment may help to prevent side effects such as early coronary artery disease.
CASE REPORT
A four year old female child presented with multiple asymptomatic yellow nodular swellings over gluteal cleft, upper posterior part of both thighs along the skin folds (fig.1), popliteal fossas, achilles tendon of both feet, few nodules coalesced to form plaques. Patient had no history of chest pain, headache, abdominal pain, jaundice, urinary...