Eruptive xanthomas in a child with the nephrotic syndrome.
In a 4-year-old boy with steriod-resistant syndrome and extreme hyperlipidemia, an intense pruritic papular eruption developed on the trunk, buttocks, and extensor surface of the extremities. Findings from a skin biopsy specimen were consistent with an eruptive xanthoma. The patient was treated with gemfibrozil (Lopid), a low-fat diet, and antihistamines. Within 1 month pruritus diminished, the cutaneous lesions resolved, and serum lipid levels declined.
Teltscher
J
J
Department of Dermatology, University Hospitals of Cleveland, OH 44106.
Silverman
R A
RA
Stork
J
J
D002675:Child, Preschool; D006801:Humans; D008297:Male; D009404:Nephrotic Syndrome / Q000150:complications*; D012871:Skin Diseases / Q000209:etiology*; D014973:Xanthomatosis / Q000209:etiology*