Abstract
A 52-year-old man with type IV hyperlipoproteinemia developed discrete multiple yellow papules (2-8 mm in diameter) over the face, chest, abdomen, back and legs. Dilated follicular orifices opened on their surface. A biopsy specimen of a papule revealed foam cell nests surrounding a hair follicle. This type of xanthoma appeared to be a variety of eruptive xanthoma. The xanthomas resolved completely in three years on diet low in carbohydrate.
