PMC2782212_01
Rouleaux formation of red blood cells. Peripheral blood smear shows the rouleaux formation of RBCs, a stack of coins (x1,000).
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F1
She was diagnosed with hypercholesterolemia by biochemical tests, and had rouleaux formations on the peripheral blood smear analysis that was done at a local private clinic (Fig. 1).
Eruptive xanthoma. (A) Eruptive xanthoma appeared over the elbow of the patient before medication. (B) The lesion of eruptive xanthomas was completely regressed after medications.
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F2
Several yellowish skin nodules were observed on both her elbows and thighs (Fig. 2A). Also, the patient's yellowish skin nodules have disappeared (Fig. 2B).
A profile of lipoproteins. A result of lipoprotein electrophoresis indicates that the patient has type V hyperlipoproteinemia. There are well defined bands of chylomicrons and grossly elevated pre-beta lipoproteins. HDL (alpha-lipoprotein) and VLDL (pre-beta lipoprotein) move with alpha1-globulins (the most left area) and alpha2-globulins (first peaks). LDL (beta-lipoprotein) migrates with beta-globulins and chylomicron (second peak) remains at the origin.
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F3
Lipoprotein electrophoresis findings indicated that the patient had type V hyperlipoproteinemia (Fig. 3).