Ans. D. Familial dysbetalipoproteinemiaThe picture given is tuberoeruptive xanthoma and palmar xanthoma of Type III hyperlipoproteinemia.Clinical presentation of familial dysbetalipoproteinemia (Type III hyperlipoproteinemia)* Patients with FDBL usually present in adulthood with incidental hyperlipidemia.* Premature coronary disease or peripheral vascular disease.* Lipoprotein elevated is chylomicron and VLDL remnant.* Lipid elevated is cholesterol and triacylglycerol.Xanthomas in FDBL* Two distinctive types of xanthomas, tuberoeruptive and palmar, are seen in FDBL patients.* Tuberoeruptive xanthomas begin as clusters of small papules on the elbows, knees, or buttocks and can grow to the size of small grapes.* Palmar xanthomas (alternatively called xanthomata striata palmaris) are orange-yellow discolorations of the creases in the palms and wrists.* Both these xanthomas are virtually pathognomonic of FDBL.