Dysbetalipoproteinemia : a case report and review of the literature

Authors

  • Napatra Tovanabutra DIVISION OF DERMATOLOGY, DEPARTMENT OF INTERNAL MEDICINE, FACULTY OF MEDICINE, CHULALONGKORN UNIVERSITY, BANGKOK, THAILAND
  • Nopadon Noppakun DIVISION OF DERMATOLOGY, DEPARTMENT OF INTERNAL MEDICINE, FACULTY OF MEDICINE, CHULALONGKORN UNIVERSITY, BANGKOK, THAILAND

Keywords:

Dysbetalipoproteinemia, typer III hyperlipoproteinemia, palmar xanthoma, xanthoma striatum palmare

Abstract

Dysbetalipoproteinemia is a rare familial hypercholesterolemia defined by accumulation of chylomicron remnants and very-low-density lipoprotein remnants due to presence of abnormal isoform of apo-E, named apo-E2, that impaired liver uptake. We reported a case presenting with palmar xanthoma that is a characteristic cutaneous sign of this condition. Serum cholesterol and triglyceride of the patient are equally elevated that is typical to dysbetalipoproteinemia.

References

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Hsu JC, Su TC, Chen MF, Liau CS, Lee YT. Xanthoma striatum palmare in a patient with primary biliary cirrhosis and hypercholesterolemia. J Gastroenterol Hepatol, 2005; 20:1799–800.

Daoud MS, Lust JA, Kyle RA, Pittelkow MR. Monoclonal gammopathies and associated skin disorders. J Am Acad Dermatol 1999; 40:507-535.

Sato-Matsumura KC, Matsumura T, Yokoshiki H, Chiba H, Shimizu H. Xanthoma striatum palmare as an early sign of familial type III hyperlipoproteinemia with an apoprotein E genotype epsilon2/epsilon2. Clin Exp Dermatol, 2003; 28:321–2.

Blom JS, Byrnes P, Jones S, Marais AD. Dysbetalipoproteinemia-clinical and pathophysiological features. SAMJ, 2002; 92:892-897.

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Published

2026-06-10

How to Cite

Tovanabutra, N., & Noppakun, N. (2026). Dysbetalipoproteinemia : a case report and review of the literature. Thai Journal of Dermatology, 27(4), 317–319. retrieved from https://he02.tci-thaijo.org/index.php/TJD/article/view/282930