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Biopsy showed the papules to be eruptive xanthomas .
The lower extremities and feet should be inspected for signs of chronic ischemia, infection, ulcerations, fissures, fungus or xanthomas .
These lipid-laden phagocytic cells tend to deposit within the skin and tendons, leading to xanthomas .
The plasma has a milky appearance, and xanthomata appear in the skin as bright yellow papules particularly at the elbows, knees, and buttocks.
Elevated levels of cholesterol and bile pigments in the blood can cause gallstones, xanthomas , and high cholesterol.
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