Eruptive xanthoma as a warning sign of uncontrolled hypertriglyceridemia presenting with acute pancreatitis and uncontrolled type II diabetes mellitus: A case report.

Key Clinical Message: Managing diabetic ketoacidosis (DKA) in individuals with severe dyslipidemia necessitates a comprehensive approach. While rehydration and continuous insulin infusion are fundamental components of DKA management due to the underlying insulin deficiency, the presence of severe hyperlipidemia with eruptive xanthomas warrants additional consideration. Early initiation of lipid-lowering agents can expedite the resolution of cutaneous lesions and substantially mitigate the risk of severe complications such as pancreatitis, along with attenuating long-term cardiovascular risks. Abstract: Xanthomas are the benign lesions which are generated by localized lipid deposits in the skin, tendons, and subcutaneous tissue. They appear clinically as yellowish papules, nodules, or plaques. Acute pancreatitis and eruptive xanthomas can occur as complications of hyperlipidemia. Uncontrolled diabetes mellitus in one of the risk factors for hypertriglyceridemia. Early recognition and treatment of the eruptive xanthomatosis as a warning sign of hypertriglyceridemia can decrease the morbidity and mortality due to acute pancreatitis. Here, we discuss a case of 37-years old female patient with uncontrolled type II diabetes mellitus presented with acute pancreatitis and eruptive xanthomas as result of raised triglycerides and uncontrolled diabetes.

Krylov construction and complexity for driven quantum systems.

Krylov complexity is an important dynamical quantity with relevance to the study of operator growth and quantum chaos and has recently been much studied for various time-independent systems. We initiate the study of K complexity in time-dependent (driven) quantum systems. For periodic time-dependent (Floquet) systems, we develop a natural method for doing the Krylov construction and then define (state and operator) K complexity for such systems. Focusing on kicked systems, in particular the quantum kicked rotor on a torus, we provide a detailed numerical study of the time dependence of Arnoldi coefficients as well as of the K complexity with the system coupling constant interpolating between the weak and strong coupling regimes. We also study the growth of the Krylov subspace dimension as a function of the system coupling constant.