Atypical Eruptive Xanthoma

A Condition Confused With Monkeypox Rash


  • Yotsapon Thewjitcharoen Theptarin Hospital, Bangkok, Thailand
  • Natthakan Saiwaew Theptarin Hospital, Bangkok, Thailand
  • Soontaree Nakasatien Theptarin Hospital, Bangkok, Thailand
  • Thep Himathongkam Theptarin Hospital, Bangkok, Thailand



chylomicronemia, eruptive xanthoma, lipemia retinalis


Since May 2022, monkeypox outbreaks have been reported in several countries outside Africa. The typical skin lesions of monkeypox begin as papules that appear in possible areas of inoculation, such as the skin or mucous membranes, followed by generalized pustules. Systemic symptoms appear simultaneously or a few days earlier than the lesions.



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Author Biographies

Yotsapon Thewjitcharoen, Theptarin Hospital, Bangkok, Thailand

Diabetes Thyroid Center

Natthakan Saiwaew, Theptarin Hospital, Bangkok, Thailand

Diabetes and Thyroid Center

Soontaree Nakasatien, Theptarin Hospital, Bangkok, Thailand

Diabetes and Thyroid Center

Thep Himathongkam, Theptarin Hospital, Bangkok, Thailand

Diabetes and Thyroid Center


Thomas PK, Smith EB. Ocular manifestations in idiopathic hyperlipidaemia and xanthomatosis. Br J Ophthalmol 1958;42(8):501-6.

Goldberg RB, Chait A. A Comprehensive Update on the Chylomicronemia Syndrome. Front Endocrinol (Lausanne). 2020;11: 593931.

Roga G, Jithendriya M. Eruptive xanthoma: Warning sign of systemic disease. Cleve Clin J Med. 2016;83(10):715-6.

Thornhill JP, Barkati S, Walmsley S, et al. Monkeypox virus infection in humans across 16 countries - April-June 2022. N Engl J Med. 2022;387(8):679-91.

Català A, Clavo Escribano P, Riera J, et al. Monkeypox outbreak in Spain: Clinical and epidemiological findings in a prospective cross-sectional study of 185 cases. Br J Dermatol. 2022.



How to Cite

Thewjitcharoen, Y., Saiwaew, N., Nakasatien, S., & Himathongkam, T. (2022). Atypical Eruptive Xanthoma: A Condition Confused With Monkeypox Rash. Journal of the ASEAN Federation of Endocrine Societies, 37(2), 114–115.



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