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Xanthoma Tuberosum Multiplex. Presented by Dr. Charles Wolf for Dr. Kavovit.
Past History.—H. K., age 33, a white married man, has been in relative good health except for rapid increase in weight from 180 lb. to 260 lb. in a period of nine years. His present weight is 236 lb. Father died of diabetes in 1935.
About three years ago lesions appeared on the elbows, extensor surfaces of arms, and knees. These remained for one year and disappeared spontaneously.
Present History.—Lesions recurred in April, 1954, on elbows and rapidly spread to other parts, back, lower extremities, upper extremities, chest, and axillae. They are discrete and confluent chamois-yellow-colored raised nodules of rather firm consistency and are widespread and profuse.
Laboratory Findings.—Blood cholesterol: Two examinations on Nov. 24, 1954, were 523 mg. per 100 cc., and 543 mg. Wassermann test was negative; urine examination was negative for sugar and