抄録
A case of xanthomatosis was reported. The patient was a 45-year-old man who was affected with tumors in the elbow, the dorsum of the hand, region of the patella, the tibial tuberosity, the Achilles tendon, and the dorsum of the feet.
The largest of the tumors was 6×2.5cm in size. This was a rare case of multiple tumors. Such large, and multiple cases were found only 4 in 173 cases reported by Fahey. Prior to the present case, only two similar cases were reported in Japan.
In the present case, no history was observed about familial hyperlipo-proteinnemia. From the analysis of serum lipoprotein it was concluded that the patient might belong to type II(b).
In the treatment, all the tumors in bilateral feet and Achilles tendon were excised and it was found had been originated from the tendon itself itself or from ligament composed of tendinious tissue.
The patient took a satisfactory post-operative course for seven months of observation.
