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Xanthoma striatum palmare
  1. Qiu-ju Tian,
  2. Xin-yan Zhao
  1. Liver Research Center, Beijing Friendship Hospital, Capital Medical University, Beijing, P. R. China
  1. Correspondence to Dr Xin-yan Zhao, Liver Research Center, Beijing Friendship Hospital, Capital Medical University, No 95 Yong An Road, Xi Cheng District, Beijing 100050, P R China; zhao_xinyan{at}

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A 31-year-old woman presented with a 7-month history of dark-colour urine, pruritus and xanthoma striatum palmare. Physical examination revealed diffuse yellowish and irregular plaques deposited over her fingers and palmar creases (figure 1). Skin biopsy was performed, which revealed accumulation of foam cells in the dermis (figure 2, arrow). The patient's medical history and family history were unremarkable for other skin diseases or coronary heart disease but 3 years ago, the patient was diagnosed with drug-induced liver injury (DILI) after an episode of jaundice attributed to use of over-the-counter herbal medicine for a common cold. Laboratory biochemistry results were as follows: total cholesterol, …

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  • Contributors X-yZ: initial diagnosis and critical revision of the paper. Q-jT: drafting and follow-up of the patient.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Ethics approval Medical Ethics Committee of Beijing Friendship Hospital, Capital Medical University.

  • Provenance and peer review Not commissioned; externally peer reviewed.