Tuberous xanthomas, though uncommon, may be the initial presentation of a concealed systemic lipid metabolic disorder. The typical imaging features, when aligned with the clinical and biochemical profile, can lead to a correct diagnosis for initiation of prompt and early treatment. We present a case of a 47-year-old female with bilateral prepatellar tuberous xanthomas as the initial clinical and imaging pointer for the diagnosis of familial dysbetalipoproteinemia. This case report highlights the importance of early recognition of these imaging findings of tuberous xanthomas for the diagnosis of underlying dyslipidemia and to prevent atherosclerotic cardiovascular complications.
Sharma et al. (Mon,) studied this question.