運動と食事療法により改善した発疹性黄色腫

・Ⅳ型脂質異常症に伴い発症した発疹性黄色腫を経験した．

・食事療法と運動療法のみで高トリグリセライド血症および皮疹は改善した．

・脂質異常症を背景とする発疹性黄色腫の治療では，安易に薬物療法を選択せず，まず食事療法と運動療法による改善を試みる必要がある．

（「症例のポイント」より）

　

A case of eruptive xanthoma improved by exercise and diet therapy

　

Miyagawa, Hidemi1）Hayakawa, Jun1）Ohni, Mitsuo2）Ohyama, Manabu1） 1）Department of Dermatology, Kyorin University School of Medicine 2）Department of Genontology, Kyorin University School of Medicine

　

A 36-year-old female visited our institute with 2-week history of asymptomatic eruptions on the whole body. On physical examination, yellowish papules predominantly distributed on the trunk and the extremities were observed. In histology, perivascular collection of foam cells in the superficial layer of the dermis was noted. The diagnosis of eruptive xanthoma was made. Laboratory examination revealed dyslipidemia. Hypertriglyceridemia started to improve 4 weeks after the initiation of exercise and diet therapy. This case reports clearly indicated the importance of dietary and lifestyle guidance over drug therapy in the management of dyslipidemia-associated eruptive xanthoma.