Pinless swelling over multiple joint, Firm in consistency. No H/O joint pain, no signs of inflammation.present in foot also.

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Tendinitis xanthomas

Tendinous xanthoma

Management sir
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Tendinitis xanthomas.

Tendinous xanthomas

Rx plz
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Tendinous xanthomas

Tendinous xanthomas

Tendon sheath tumor?

Assess lipid profile and treat accordingly with statins + Surgical removal with careful dissetion .To do MRI prior to surgey.

Tendinous xanthomas

I am agree totly
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Agree with dr kothandapani

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