Snapshot A 54-year-old man presents to his primary care physician for a wellness visit. He reports to currently feeling well and has no acute complaints. Medical history is significant for 2 prior myocardial infarctions, hypertension, hyperlipidemia, and hypercholesterolemia. Physical examination is notable for corneal lipid deposits in the peripheral corneal stroma. (Corneal arcus) Introduction Hyperlipidemia Signs Category Definition Atheromas Also known as an atheromatous plaque or atherosclerotic plaque A raised intimal lesion that has a lipid core surrounded by a fibrous cap Xanthomas A skin lesion that contains lipid-laden histiocytes when it affects the eyelids it is termed xanthelasma Tendinous xanthoma Lipid deposits affecting the tendons (e.g.,Achilles) Corneal arcus Corneal lipid deposits seen in theelderly (commonly)hypercholesterolemia in the young