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Eruptive xanthomas

MedGen UID:
66366
Concept ID:
C0221252
Disease or Syndrome
Synonym: Eruptive xanthoma
SNOMED CT: Eruptive xanthoma (238952003)
 
HPO: HP:0001013

Definition

Eruptive xanthomas are yellow-orange-to-red-brown papules that are often surrounded by an erythematous halo. They appear in crops on the buttocks, extensor surfaces of the extremities, and flexural creases. Acutely, variable amounts of pruritus and pain occur. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVEruptive xanthomas

Conditions with this feature

Hyperlipoproteinemia, type I
MedGen UID:
7352
Concept ID:
C0023817
Disease or Syndrome
Familial lipoprotein lipase (LPL) deficiency usually presents in childhood and is characterized by very severe hypertriglyceridemia with episodes of abdominal pain, recurrent acute pancreatitis, eruptive cutaneous xanthomata, and hepatosplenomegaly. Clearance of chylomicrons from the plasma is impaired, causing triglycerides to accumulate in plasma and the plasma to have a milky (lactescent or lipemic) appearance. Symptoms usually resolve with restriction of total dietary fat to =20 g/day.
Familial apolipoprotein C-II deficiency
MedGen UID:
328375
Concept ID:
C1720779
Disease or Syndrome
Clinically and biochemically, apoC-II deficiency closely simulates lipoprotein lipase deficiency, or hyperlipoproteinemia type I (238600), and is therefore referred to as hyperlipoproteinemia type IB.
Hyperlipidemia due to hepatic triglyceride lipase deficiency
MedGen UID:
462816
Concept ID:
C3151466
Disease or Syndrome
Hepatic lipase deficiency is characterized by premature atherosclerosis, elevated total cholesterol, triglycerides (TG), and very low density lipoprotein (VLDL), as well as TG-rich low density lipoprotein (LDL) and HDL subfractions (summary by Hegele et al., 1991).
Hyperlipoproteinemia, type 1D
MedGen UID:
863204
Concept ID:
C4014767
Disease or Syndrome
Hyperlipoproteinemia type ID is a rare autosomal recessive disorder characterized by impaired clearance of triglyceride (TG)-rich lipoproteins in plasma, leading to severe hypertriglyceridemia (chylomicronemia). Clinical features include eruptive xanthomas, lipemia retinalis, hepatosplenomegaly, episodes of abdominal pain, and pancreatitis. Onset usually occurs in adulthood (summary by Brahm and Hegele, 2013). For a discussion of genetic heterogeneity of familial chylomicronemia, see 238600.

Professional guidelines

PubMed

Xia Y, Zheng W, Du T, Gong Z, Liang L, Wang R, Yang Y, Zhang K, Lu D, Chen X, Sun Y, Sun Y, Xiao B, Qiu W
J Clin Lipidol 2023 Nov-Dec;17(6):808-817. Epub 2023 Sep 27 doi: 10.1016/j.jacl.2023.09.012. PMID: 37858495
Okazaki H, Gotoda T, Ogura M, Ishibashi S, Inagaki K, Daida H, Hayashi T, Hori M, Masuda D, Matsuki K, Yokoyama S, Harada-Shiba M
J Atheroscler Thromb 2021 Sep 1;28(9):883-904. Epub 2021 May 13 doi: 10.5551/jat.RV17054. PMID: 33980761Free PMC Article
Chait A, Eckel RH
Ann Intern Med 2019 May 7;170(9):626-634. Epub 2019 Apr 30 doi: 10.7326/M19-0203. PMID: 31035285

Recent clinical studies

Etiology

Xia Y, Zheng W, Du T, Gong Z, Liang L, Wang R, Yang Y, Zhang K, Lu D, Chen X, Sun Y, Sun Y, Xiao B, Qiu W
J Clin Lipidol 2023 Nov-Dec;17(6):808-817. Epub 2023 Sep 27 doi: 10.1016/j.jacl.2023.09.012. PMID: 37858495
Knebel B, Müller-Wieland D, Kotzka J
Int J Mol Sci 2020 Nov 20;21(22) doi: 10.3390/ijms21228778. PMID: 33233602Free PMC Article
Chait A, Eckel RH
Ann Intern Med 2019 May 7;170(9):626-634. Epub 2019 Apr 30 doi: 10.7326/M19-0203. PMID: 31035285
Buonuomo PS, Malamisura M, Macchiaiolo M, Rana I, Gonfiantini MV, Mastrogiorgio G, Bartuli A
J Pediatr 2017 Aug;187:330. Epub 2017 May 18 doi: 10.1016/j.jpeds.2017.04.032. PMID: 28529016
Zak A, Zeman M, Slaby A, Vecka M
Biomed Pap Med Fac Univ Palacky Olomouc Czech Repub 2014 Jun;158(2):181-8. Epub 2014 Apr 29 doi: 10.5507/bp.2014.016. PMID: 24781043

Diagnosis

Mathew S, Lobo C, Kaimal S, Raj S
N Z Med J 2024 Aug 23;137(1601):74-76. doi: 10.26635/6965.6607. PMID: 39173164
Tang KY, Wu MY, Li J
JAMA Dermatol 2023 Apr 1;159(4):449. doi: 10.1001/jamadermatol.2022.5834. PMID: 36857038
Xu M, Liu Y
N Engl J Med 2022 Jun 2;386(22):e58. doi: 10.1056/NEJMicm2112562. PMID: 35648705
Pierce J, Patel T, Scott C
Mayo Clin Proc 2021 Dec;96(12):3097-3098. doi: 10.1016/j.mayocp.2021.09.019. PMID: 34863397
Koh XQ, Chandran NS
J Pediatr 2018 Oct;201:295. Epub 2018 May 18 doi: 10.1016/j.jpeds.2018.04.053. PMID: 29784516

Therapy

Chait A, Eckel RH
Ann Intern Med 2019 May 7;170(9):626-634. Epub 2019 Apr 30 doi: 10.7326/M19-0203. PMID: 31035285
Tsuchiya S, Sawada S, Takeda K, Takahashi K, Nakajima T, Kohata M, Kurosawa S, Satake C, Imai J, Kikuchi K, Aiba S, Katagiri H
Endocr J 2019 Jan 28;66(1):107-114. Epub 2018 Nov 2 doi: 10.1507/endocrj.EJ18-0356. PMID: 30393272
Patel N, Norberg A, Hogeling M
Pediatr Dermatol 2018 May;35(3):e163-e164. Epub 2018 Mar 25 doi: 10.1111/pde.13463. PMID: 29575286
Aldabagh B, Bergfeld W
Dermatol Online J 2010 Apr 15;16(4):6. PMID: 20409413
Naik NS
Dermatol Online J 2001 Dec;7(2):11. PMID: 12165227

Prognosis

Vasiluev PA, Ivanova ON, Semenova NA, Strokova TV, Taran NN, Chubykina UV, Ezhov MV, Zakharova EY, Dadli EL, Kutsev SI
Genes (Basel) 2022 Jun 14;13(6) doi: 10.3390/genes13061062. PMID: 35741823Free PMC Article
Okazaki H, Gotoda T, Ogura M, Ishibashi S, Inagaki K, Daida H, Hayashi T, Hori M, Masuda D, Matsuki K, Yokoyama S, Harada-Shiba M
J Atheroscler Thromb 2021 Sep 1;28(9):883-904. Epub 2021 May 13 doi: 10.5551/jat.RV17054. PMID: 33980761Free PMC Article
Buonuomo PS, Malamisura M, Macchiaiolo M, Rana I, Gonfiantini MV, Mastrogiorgio G, Bartuli A
J Pediatr 2017 Aug;187:330. Epub 2017 May 18 doi: 10.1016/j.jpeds.2017.04.032. PMID: 28529016
Merola JF, Mengden SJ, Soldano A, Rosenman K
Dermatol Online J 2008 May 15;14(5):10. PMID: 18627746
Bijvoet SM, Bruin T, Kastelein JJ
Neth J Med 1993 Feb;42(1-2):36-44. PMID: 8446222

Clinical prediction guides

Xia Y, Zheng W, Du T, Gong Z, Liang L, Wang R, Yang Y, Zhang K, Lu D, Chen X, Sun Y, Sun Y, Xiao B, Qiu W
J Clin Lipidol 2023 Nov-Dec;17(6):808-817. Epub 2023 Sep 27 doi: 10.1016/j.jacl.2023.09.012. PMID: 37858495
Yamamoto H, Tanaka M, Yoshiga S, Funahashi T, Shimomura I, Kihara S
J Clin Endocrinol Metab 2014 May;99(5):1525-30. Epub 2014 Feb 25 doi: 10.1210/jc.2013-3619. PMID: 24606081
Ahmed K, Muhammad Z, Qayum I
J Ayub Med Coll Abbottabad 2009 Apr-Jun;21(2):76-9. PMID: 20524475
Chang HY, Ridky TW, Kimball AB, Hughes E, Oro AE
Arch Dermatol 2003 Aug;139(8):1045-8. doi: 10.1001/archderm.139.8.1045. PMID: 12925394
Köbberling J, Willms B, Kattermann R, Creutzfeldt W
Humangenetik 1975 Sep 10;29(2):111-20. doi: 10.1007/BF00430347. PMID: 170190

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