TY  - CHAP
M1  - Book, Section
TI  - Hyperlipidemia and Xanthomas
A1  - Chauhan, Alia
A1  - Smith, Mindy A.
A2  - Usatine, Richard P.
A2  - Sabella, Camille
A2  - Smith, Mindy Ann
A2  - Mayeaux, E.J.
A2  - Chumley, Heidi S.
A2  - Appachi, Elumalai
PY  - 2015
T2  - The Color Atlas of Pediatrics
AB  - A  5-year-old  boy  is  undergoing  a  complete  physical  exam  prior  to  starting  kindergarten  and  the  pediatrician  notes  some  papules  over  the  right  Achilles  tendon  (Figure  193-1A).  She  also  notes  rings  around  the  peripheral  corneas  of  both  eyes  that  could  be  arcus  juvenilis  (Figure  193-1B).  The  mom  noticed  the  papules  near  the  foot  about  2  months  ago  but  had  not  noticed  anything  unusual  about  the  eyes.  The  pediatrician  suspects  that  these  findings  could  be  secondary  to  elevated  lipids  and  discovers  that  the  mother  has  type  2  diabetes  along  with  high  cholesterol.  The  child  is  sent  for  a  fasting  lipid  panel  and  blood  sugar.  The  results  confirm  familial  hypercholesterolemia  (total  cholesterol  of  810  mg/dL  and  a  low  density  lipoprotein  of  507  mg/dL).  The  papules  over  the  Achilles  tendon  are  tendinous  xanthomas  and  the  eyes  do  show  arcus  juvenilis  secondary  to  the  elevated  lipids.  The  child  is  referred  to  endocrinologist  and  the  mother  is  told  that  all  the  family  should  be  tested  and  everyone  should  be  eating  a  low  fat  diet.  
SN  - 
PB  - McGraw-Hill Education
CY  - New York, NY
Y2  - 2024/04/19
UR  - accesspediatrics.mhmedical.com/content.aspx?aid=1114879285
ER  -