A young man with extensor eruptive skin lesions.

An obese 35-year-old man with a history of heavy alcohol consumption presented with non-pruritic papular skin eruptions of 3 months duration (figure 1). He was recently diagnosed to have type 2 diabetes, which was not well controlled (glycated haemoglobin, HbA1c 10.5%). Systemic examination was normal except for hepatomegaly. Serum biochemistry showed severe hypertriglyceridaemia (1550 mg/dL) (N:<150 mg/dL). Other laboratory investigations included mild elevation of transaminases and normal amylase, lipase, …