Above is a picture of xanthomas in the tendon and below it xathelasmata in a middle aged woman. Both are clinical features of familial hypercholesterolemia. The latter is an autosomal dominant condition and is associated with marked atherosclerosis that results in ischaemic heart disease, stroke and peripheral vascular disorders.
Other clinical features that may be there include:
1) Skin xanthomas and
2) Arcus senilis which sets in at a younger age.
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