每日一题_2022.5.26

A 27-year-old man with a history of obesity presented to the dermatology clinic with an asymptomatic rash on his back, arms, and hands that had developed 1 week earlier. On physical examination, scattered pink-yellow papules were present on the upper back, extensor surfaces of the upper arms, and dorsa of the hands. A fasting blood sample was grossly lipemic.

每日一题_2022.5.26

Which of the following is the most likely diagnosis?

A. Eruptive xanthomas

B. Generalized eruptive histiocytoma

C. Granuloma annulare

D. Molluscum contagiosum

E. Sebaceous hyperplasia

答案解析:

诊断为严重高甘油三酯血症所致的发疹性黄色瘤。对于有提示血脂异常危险因素的患者,应怀疑发疹性黄色瘤。非诺贝特、戒酒、运动和低脂饮食治疗后皮损减轻。

正确答案:A

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