Xanthomas are the dermatological manifestations of underlying lipid disorders. The underlying hyperlipidemias may be hereditary or secondary in nature. The familial causes have been well described by Fredrickson into five major categories. The secondary causes of hyperlipidemia range from uncontrolled diabetes mellitus to various dietary factors. We report a case of giant tuberous xanthomas due to secondary hyperlipidemias in an alcoholic patient.