case_images: PMC8581777_01
case_images: Numerous 1 to 2 cm scaly mildly erythematous papules and plaques on the abdomen.
case_images: 10.1177_2050313X211057937-fig1.jpg
case_images: PMC8581777_01_10.1177_2050313X211057937-fig1.jpg
case_images: fig1-2050313X211057937
case_images: On physical examination, she presented diffuse icterus of sclera and skin as well as numerous 1 to 2 cm scaly mildly erythematous papules and plaques on the abdomen, back, limbs and face, mimicking pityriasis rosea (Figure 1).
case_images: Palmar xerosis and discrete yellowish papules in the palmar creases.
case_images: 10.1177_2050313X211057937-fig2.jpg
case_images: PMC8581777_01_10.1177_2050313X211057937-fig2.jpg
case_images: fig2-2050313X211057937
case_images: Furthermore, she had palmar xerosis and discrete yellowish papules in the palmar creases, suggestive of xanthoma striatum palmare (Figure 2).
case_images: Mild verrucous epidermal hyperplasia with hyperkeratosis and a prominent papillary dermal infiltrate of xanthomatous cells.
case_images: 10.1177_2050313X211057937-fig3.jpg
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case_images: fig3-2050313X211057937
case_images: Residual hyperpigmented macules after 10 weeks of apheresis.
case_images: 10.1177_2050313X211057937-fig4.jpg
case_images: PMC8581777_01_10.1177_2050313X211057937-fig4.jpg
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case_images: After 10 weeks, her lesions improved greatly, leaving residual hyperpigmented macules (Figure 4).