• Am J Emerg Med · Aug 2018

    Case Reports

    Eruptive xanthoma in the setting of hypertriglyceridemia and pancreatitis.

    • Matthew Stark and Jonathan Stuart.
    • Carl R. Darnall Army Medical Center, 36065 Santa Fe Ave., Fort Hood, TX 76544, United States. Electronic address: Matthew.s.stark4.mil@mail.mil.
    • Am J Emerg Med. 2018 Aug 1; 36 (8): 1524.e5-1524.e7.

    BackgroundUndifferentiated dermatologic complaints are often encountered in the emergency department. While a patient's exposures, risk factors, and comorbidities may help guide emergency department evaluation, the accurate diagnosis of dermatologic findings is critical to allowing rapid identification and treatment of disease.CaseIn this vignette we discuss a case of eruptive xanthoma in a 33-year-old male with diabetic ketoacidosis and pancreatitis.DiscussionDermatologic complaints pose a unique challenge to the emergency physician. Many dermatologic findings are benign; however, some may represent underlying serious disease even in young, otherwise healthy appearing patients. Eruptive xanthomas are cutaneous lesions often indicating severe hypertriglyceridemia and uncontrolled diabetes. Likely presentations and risk factors for eruptive xanthomas will be discussed as well as ED evaluation and management.Copyright © 2018 Elsevier Inc. All rights reserved.

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