Xanthomata With Elevated Serum Triglycerides. Presented by Maximilian E. Obermayer, MD, and Robert F. Shea, MD.
A 23-month-old white boy, of Scandinavian ancestry, at the age of 6 months began developing asymptomatic skin lesions which have increased in number since that time. He was born with a congenital depression of the right rib cage, but otherwise his development has been within normal limits. His appetite has never been good, but his general health has been well maintained.
There is no history of cutaneous or systemic familial disease. He has one younger sister who is in good health.
Skin.—Single round, soft, discrete, yellow-tan, fleshy nontender papules were seen in the following locations and of the following sizes: scalp, 3 mm; left shoulder, 6 mm (removed for biopsy); nape, 1.5 mm; chin, 2 mm; and left pretibial area, 3 mm.There are 5 "cafe-au-lait" spots scattered
Linden IH, Carney JW, Williamson C. THE LOS ANGELES DERMATOLOGICAL SOCIETY. Arch Dermatol. 1967;96(4):464-473. doi:10.1001/archderm.1967.01610040114022