Multiple Xanthomas in Extensor tendons of Both Hands

Journal of the Korean Society for Surgery of the Hand 2004;9(2):100-103.
Published online June 1, 2004.

Young Woong Choi, Ki Seuk Hong, Suk Joon Oh, Sung Hoon Koh, Chan Min Chung

양측 수부의 신근건에 발생한 다발성 황색종 - 1예 보고 -

최영웅·홍기석·오석준·고성훈·정찬민

Abstract

Tendon xanthoma from the familial hypercholesterolemia, a congenital lipoprotein metabolism disorder due to LDL-receptor deficit, non-neoplastic tumor, is generally expressed on extensor tendon at the level of metacarpophalangeal (MP) joint, Achilles tendon, and patellar tendon in early adolescent age. This yellow mass followed by ill-treated familial hypercholesterolemia inherited with autosomal dominant trait may usually develop the cosmetic problem more than functional that. We experienced the forty-year-old male patient who had both hypercholesterolemia and multiple xanthoma masses of both hands. He also had the masses on both feet, both knees, and both posterior heels. Multiple xanthomas of both hands were excised surgically with shaving method. We could preserve the integrity and continuity of extensor tendons, and could obtain the satisfactory cosmetic result with full range of motion.