Eruptive xanthomatosis and alcoholism. Case report

Abstract

Introduction: Xanthomas are skin lesions formed by the abnormal deposition of lipids and foam cells in the dermis. The liver inflammatory process caused by alcohol intake can lead to the appearance of these lesions even with adequate lipid levels. Objective: To present a clinical case of eruptive xanthomas in a normolipemic patient with liver disease caused by the ingestion of alcohol and to review the literature on the subject. Case presentation: 22-year-old male white patient, with a history of daily alcohol intake for approximately seven years, who reports the presence of skin lesions as small balls on the face that spread to the neck, arms and trunk, at the beginning isolated and then they converged. A dermatological examination revealed a disseminated picture made up of yellowish papules, some isolated, in variable number and size and others that converge to form small plaques with well-defined borders and small papules around them, which were distributed on the face, neck, trunk and upper limbs. Investigations revealed elevated transaminases and ultrasound reported hepatomegaly. The patient is referred to gastroenterology, who diagnoses alcoholic hepatitis and to psychiatry for alcohol detoxification. Conclusions: With the help of several specialists, the patient was able to stop drinking alcoholic beverages, improving his liver function and disappearing skin lesions.