Xanthoma around the eyelids (xanthelasma) is a common presentation; other xanthomas are quite rare. The presence of xanthoma may indicate an underlying blood lipid disorder, and patients should have a full liid profile and biochemical screen performed.
- Xanthoma around the eyelids (xanthelasma) is a common presentation in general practice; tendon xanthoma and cutaneous xanthoma are quite rare.
- Many patients with xanthoma have an underlying blood lipid disorder.
- All patients with xanthoma should have a fasting lipid profile and a standard haematology and biochemistry work up.
- Ongoing management is related to any lipid disorder diagnosed.
- Specialist referral may be desirable for severe lipid disorders.