Tuberous Tendinous Xanthomas

Well, this is a repeat question (from May 16th) and so I will direct you to that discussion, but the most important aspect of this question is that many of you got it right.  Please think in terms of depositions into the skin, and then run your differential dx based upon location, appearance and peripheral clues.  You all nailed the elevated lipids, so nice job overall.  By the way, this was repeated in error, and I apologize for not making it a harder Q.