Normolipemic papular x anthoma w ith xanthelasma

Xanthomas are a common presentation of disorders of lipid metabolism usually associated with abnormalities of cholesterol metabolism. A 35 year old female presented to us with the lesions of xanthelasma on the upper eyelids and papular xanthomas on the rest of the body. Routine investigations and systemic examination was normal. Lipid profile was within normal range and serum protein electrophoresis showed normal pattern. Histopathology from a papular lesion showed foamy histiocytes with Touton’s type of giant cells. We present a case of normolipemic papular xanthoma with xanthelasma which is a very rare occurrence.