Xanthomas are localized lipid deposits with in organs that may manifest as papules , plaques or nodules in skin. the subtype of xanthoma provides a clue to the underlying lipid abnormality. accurate diagnosis of xanthomas is important because it can lead to identification and treatment of underlying disease

OBJECTIVE––>  The objective of study is ot describe clinical and pathological finding of a man who developed tendon and tuberous xanthomas accompanied by normal plasma lipids , which is an uncommon occurrence .

 METHORDS––> We present a case of middle aged men who presented with multiple nodules over extremities and few over trunk . Routine investigations  were done complete blood counts, LFT,RFT, blood sugar, lipid profile. Histological examination of nodule was done.

RESULTS––> Based on the clinical presentation and histopathological examination of nodule diagnosis of normolipemic xanthomatosis was established which is a rare occurrence

CONCLUSION ––>Multiple tendon and tuberous xanthomas in a patient with normal lipid metabolism with no associated  systemic disorders is an uncommon occurrence. so we present this case to emphasise the importance of considering this disease entity in a patient with normal lipid profile