Xanthomas of mixed morphology

Xanthomas develop in the skin due to deposition of lipids in dermis, primarily in macrophages, but it can also be present intracellularly. Xanthomas may develop in association with primary or secondary disorder of lipid metabolism. Thus, early recognition of these lesions can have a significant impact on the diagnosis, management, and prognosis of patients who suffer from an underlying disease. Here we report this case to highlight the importance of recognizing dermatological clues to elevated lipid levels in view of initiating early treatment with lipid lowering agents.