26th May 2025

A 72-year-old lady attends clinic.

A 72-year-old lady attends clinic. She has noticed white spots under her skin around the tips of her ears and similar-looking spots around the knuckles of her toes. She is concerned as she thinks it could be cancer. She does not have any joint pain but had 1 episode of gout a few years ago. What is the likely cause of the white spots?

Select the SINGLE most appropriate option from the list below. Select ONE option only.