He was started on a low fat diet and Lescol. All skin lesions resolved after 4 weeks of treatment. The triglyceride level was lower but still elevated at 1,965. They can also be seen in patients with diabetes, pancreatitis, hypothyroidism, and nephrotic syndrome. They may also occur as a complication of treatment with oral isotretinin, or intravenous miconazole.
Lesions appear suddenly in crops over extensor surfaces of the extremeties and buttocks.
They are usually asymptomatic but can be pruritic. Spontaneous resolution of the lesions may occur. Ramsay Farah and Manuel Hernandez for providing the case.