Image Challenge

A 27-year-old man with a history of obesity presented to the dermatology clinic with an asymptomatic rash on his back, arms, and hands that had developed 1 week earlier. On physical examination, scattered pink-yellow papules were present on the upper back, extensor surfaces of the upper arms, and dorsa of the hands. A fasting blood sample was grossly lipemic. Which of the following is the most likely diagnosis?

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