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tendon xanthoma; tendinous xanthoma
Etiology:
- familial hypercholesterolemia (pathognomonic) [2]
- cerebrotendinous xanthomatosis
- sitosterolemia
Clinical manifestations:
- lipid deposition within tendons, ligaments & fascia
- smooth, firm, lobulated nodules over extensor surfaces, especially over extensor tendons of hands, elbows, knees, & Achilles tendon
Laboratory:
- LDL cholesterol elevated
General
xanthoma
References
- Medical Knowledge Self Assessment Program (MKSAP) 15, 18.
American College of Physicians, Philadelphia 2009, 2018.
- NEJM Knowledge+