1 | INTRODUCTION
Early diagnosis and treatment of dyslipidemia are required to prevent the progression of atherosclerosis. Hypertriglyceridemia has been shown to increase the risk of atherosclerosis, which can lead to the development of cardiovascular disease.1 Diabetes mellitus is frequently associated with dyslipidemia, particularly type Ⅱb, Ⅲ, or Ⅳ hyperlipidemias, which can promote hypertriglyceridemia.2, 3
Xanthomas are typical skin lesions associated with dyslipidemia that occur as accumulations especially in the Achilles and patellar tendons, extensor tendons of the hands and elbows, eyelids, trunk, and buttocks.4 These skin lesions have been associated with marked hypercholesterolemia, which is typically observed in patients with familial hyperlipidemia type Ⅱa.5
With regard to hypertriglyceridemia, evidence suggests that eruptive xanthomas were associated with serum triglyceride levels.6 Considering the availability of studies on the clinical courses of eruptive xanthoma,7–9clinicians should familiarize themselves with the details of this condition for correct diagnosis in the early stage.
We herein report on a patient with dyslipidemia complicated with type 2 diabetes mellitus, in whom eruptive xanthoma served as an indicator for hypertriglyceridemia. After improvement of hypertriglyceridemia through diet and medical treatment, the color tones of the skin lesions had changed from red to white, ultimately disappearing after several months.