A patient had type IV hyperlipoproteinemia with the unusual and, to our knowledge, not previously reported clinical sign of xanthoma limited to follicular distribution. It is suggested that this be considered when evaluating anyone with folliculitis and hyperlipemia.
Pirozzi DJ, Gross PR. Perifollicular Xanthomatosis. Arch Dermatol. 1971;104(4):431-433. doi:10.1001/archderm.1971.04000220089019