Sexual health as a portal to men's health: a problem turned around into an opportunity

class HDL2 particles and raised serum apolipoprotein B concentrations. Xanthomata and xanthelasma may relate to low lipoprotein lipase activity (10–12). On a similar theme further questions that need clarity are what about other skin ‘lipid’ stigmata and cardiovascular risk? For example eruptive and tuberous xanthomata are associated with chylomicron syndrome and type III dyslipoproteinaemia, respectively, and acanthosis nigricans and skin tags are possible features of insulin resistance states (13). It is unlikely that we will ever know the Mona Lisa’s carotid IMT but it makes sense as Bergman (8) has suggested to determine plasma lipoprotein levels in patients with xanthelasma and to assess them for cardiovascular risk.