Tendinous xanthoma

Madhuri Prashant Holay, Kiran Madhukar Somkuwar, Satyanarayan Durgam


A 31 years old female presented with multiple nodular, progressive swellings over feet since her age of 16 years & similar type of swellings both hands (Figure 1 & 2). She was non diabetic, non-hypertensive & not on any Thyroid replacement therapy. And no past history of coronary heart disease. She had no family history of sudden cardiac death except her 19yrs brother was having similar kind of swellings. Her physical examination revealed multiple subcutaneous, firm, non-tender swellings involving feet &hands (Figure 1 & 2).


Tendinous, xanthoma, heart disease

Full Text:



Oosterveer DM, Versmissen J, Yazdanpanah M, Hamza TH, Sijbrands EJ. Differences in characteristics and risk of cardiovascular disease in familial hypercholesterolemia patients with and without tendon xanthomas: a systematic review and meta-analysis. Atherosclerosis. 2009;207:311-7.

Vermeer BJ, Gevers Leuven J. New aspects of xanthomatosis and hyperlipoproteinemia. Curr Probl Dermatol. 1991;20:63-72.

Daniel J. Rader, Helen H. Hobbs. Disorders of lipoprotein. In: Daniel J. Rader, Helen H. Hobbs, eds. Harrison’s Principles of Internal Medicine. 18th ed. New York: McGraw Hill Publication; 2012: 3148-3150.