Abstract
A 44-year-old man with hypertension and type 2 diabetes presented to the emergency department with unrelenting, substemal chest pain of 6 hours' duration. Physical examination findings were within normal limits except forhis lower extremities, which contained a myriad of 2- to 5-mm, red-yellow, dome-shaped papules with an erythematous halo coalescing into small plaques without exudates crust, or scales (figure 1). The patient reported that the skin lesions had first appeared 4 months earlier and had steadily increased in number. The lesions were occasionally pruritic. Electrocardiography revealed ST-segment elevation in the lateral leads, and cardiac enzyme levels were significantly elevated. The patient's random triglyceride level was above 3,500 mg/dL (39.52 mmol/L). Emergent three-vessel coronary bypass surgery was performed. The patient was instructed to adhere to a low-fat diet and begin statin therapy. Weeks after his hospitalization, the patient was free of chest pain, the skin lesions had diminished, and his fasting lipid profile was much improved.
Sign-in/Register to access full text options 
Talk to us
Join us for a 30 min session where you can share your feedback and ask us any queries you have
Schedule a callDisclaimer: All third-party content on this website/platform is and will remain the property of their respective owners and is provided on "as is" basis without any warranties, express or implied. Use of third-party content does not indicate any affiliation, sponsorship with or endorsement by them. Any references to third-party content is to identify the corresponding services and shall be considered fair use under The CopyrightLaw.
