Eruptive xanthomas that are characterized by yellowish red papules results from hyperlipidemia, particularly hypertriglyceridemia. The hyperlipidemia responsible for this disorder can be caused by a primary genetic defect, a secondary disorder, or both. Some medications such as estrogen or retinoid treatments may cause eruptive xantomas by increasing serum lipids. We present a case eruptive xantomas triggered by hawthorn vinegar.