A 35-year-old woman with PCOS presents with yellowish, waxy bumps on her skin. She reports that these bumps have been slowly appearing over the past six months. What could be the cause and next steps?
This patient's skin findings could be suggestive of eruptive xanthomas, which are skin lesions caused by the deposition of lipids in the skin and are often associated with high levels of blood lipids. Women with PCOS are at higher risk for dyslipidemia due to insulin resistance. The next step would be to confirm this diagnosis with a lipid panel blood test. If her lipid levels are indeed high, lifestyle modifications and potentially lipid-lowering medications would be recommended.