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XANTHOMATOSIS |
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1� hyperlipidaemias [with raised serum cholesterol; hereditary] |
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2� hyperlipidaemia: |
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diabetes mellitus (types IIb and IV)obesity (type IV)hypothyroidism (type IIa)biliary obstruction, esp. 1� biliary cirrhosis (type IIa)nephrotic syndrome (type IIa)paraproteinaemias pregnancy chronic renal failure (raised triglycerides)anorexia nervosa pancreatitis (type IV)alcoholism (type IV)gout (type IV) |
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drugs: |
retinoids thiazides steroids non-selective beta-blockers norgestrel (in oral contraceptive pill) |
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NB:
-xanthoma over eyelids (xanthelasma
) typically occur in hyperlipidaemia type IIb;-eruptive xanthomas
[very raised serum triglycerides] occur in:alcoholism
exogenous steroids
diabetes mellitus;
-tendon xanthomas
occur in hyperlipidaemia type IIa [raised cholesterol; normal triglycerides].click here to return to the main contents page of Differential Diagnoses in General Medicine