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.
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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