|Poll|October 9, 2014

Widespread "Yellow Bumps"

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Key Takeaways

  • Eruptive xanthomas are linked to poorly controlled diabetes and hyperlipidemia, presenting as sudden-onset yellow papules.
  • Elevated triglyceride levels are commonly associated with the appearance of eruptive xanthomas in diabetic patients.
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A woman with poorly controlled type 2 diabetes presented with widespread “yellow bumps" of sudden onset. What's your diagnosis?

This woman with poorly controlled type 2 diabetes presented with widespread “yellow bumps" of sudden onset. Representative lesions across her back and on her elbow can be seen in the Figures.

Of what disorder are the history and clinical picture nearly pathognomonic?

A. Lichen amyloidosis
B. Macular amyloidosis
C. Xanthomata
D. Lipoid proteinosis

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