Korean J Med.
2009 Nov;77(5):620-624.
A case of type 3 hyperlipoproteinemia associated with generalized tuberoeruptive xanthomas
- Affiliations
-
- 1Department of Internal Medicine, College of Medicine, Chung-Ang University, Seoul, Korea. cjkim@cau.ac.kr
- 2Department of Dermatology, College of Medicine, Chung-Ang University, Seoul, Korea.
Abstract
- A 55-year-old female presented with extensive yellowish eruptive plaques over both elbows and the buttocks that she had first noticed 2 years earlier. Yellowish orange discoloration of her palmar creases was noted. Her serum cholesterol and triglyceride were markedly elevated. Lipoprotein electrophoresis showed a broad beta band. On apolipoprotein E genotyping, the arginine at position 158 had been replaced by cysteine in both alleles (E2/E2). Under a diagnosis of type III hyperlipoproteinemia, combined atorvastatin and fenofibrate therapy for 2 months normalized the serum cholesterol and triglyceride levels.
MeSH Terms
-
Alleles
Apolipoproteins
Arginine
Buttocks
Cholesterol
Citrus sinensis
Cysteine
Elbow
Electrophoresis
Female
Fenofibrate
Heptanoic Acids
Humans
Hyperlipoproteinemia Type III
Hyperlipoproteinemias
Lipoproteins
Middle Aged
Pyrroles
Xanthomatosis
Atorvastatin Calcium
Apolipoproteins
Arginine
Cholesterol
Cysteine
Fenofibrate
Heptanoic Acids
Lipoproteins
Pyrroles
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