Correspondence Address:
Manjunath M Shenoy
Department of Dermatology, Yenepoya Medical College, Yenepoya University, Deralakatte, Mangalore - 575 018, Karnataka

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A 19-year-old girl without any significant medical problems presented with eruptive xanthomas over the arms, elbows, shoulders, gluteal region, and thighs. Fasting blood sample taken for lipid profile; when centrifuged the serum appeared milky white [Figure 1] and triglyceride level was 1,380 mg/dl (reference range - up to 150 mg/dl). Thus, lipemic serum due to hypertriglyceridemia was confirmed. Lipemic serum refers to opaque, milky serum due to markedly increased triglyceride-rich lipoproteins of high molecular weight. [1],[2] Hypertriglyceridemia can be due to genetic defects or secondary to diabetes mellitus, high fat diet, excessive alcohol intake, and certain medications. [3] Eruptive xanthomas are the common presentation of hypertriglyceridemia [Figure 2]. This case appears to be a familial hypertriglyceridemia since her father also had xanthomas and elevated triglycerides.{Figure 1}{Figure 2}

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