Xanthoma, Eruptive, Drug Reaction - DermAtlas

Contributor

Ana Maria Sortino-Rachou, MD

Diagnosis

xanthoma, eruptive drug reaction

Body Site

elbow hand

Age

37 years

Pigmentation

light

Organization

discrete grouped, clustered

Color

red

Morphology

papule

Pattern

symmetric acral (centripetal - extremity predominant)

Comments

This 37-year-old woman underwent in vitro fertilization and was treated with 800 mg of progesterone each day for 7 days. She developed cholestasis, jaundice and small pruritic papules on elbows, hands and knees. She had a family history of diabetes but was free of disease. Blood tests were characteristic of type IV hyperlipoproteinemia with hypertriglyceridemia, hypercholesterolemia, decreased LDLs, decreased HDLs, and elevated liver enzymes.

Description

uniform acral 2-3 mm smooth topped grouped pink to red papules

Image Added

12/30/2007 16:45:09

Translate

Other Resources

PubMed Medline Plus Medscape

Image Options

View Image in New Window