Which of the following may indicate hyperlipidemia?

The presence of small, yellow lumps around the eyes, known as xanthomas or xanthelasmas, is indeed a clinical sign that may indicate hyperlipidemia. These lumps are deposits of cholesterol that occur when there are elevated levels of lipids in the blood. They can appear as yellowish plaques on the eyelids or near the eyes and are often associated with high cholesterol or triglyceride levels, which are hallmarks of hyperlipidemia.

Thin hair and night blindness, while they may suggest other health issues or nutrient deficiencies, are not direct indicators of hyperlipidemia. Thin hair can be associated with various conditions, including hormonal imbalances or deficiencies in certain nutrients like protein or iron, but it does not specifically indicate lipid levels. Night blindness is typically related to vitamin A deficiency or other retinal dysfunctions and does not correlate with lipid levels.

Sore or pale lips can arise from several causes, including anemia or dehydration, but again, these symptoms do not directly relate to hyperlipidemia.

The identification of xanthomas effectively points to potential lipid imbalances in the body, making it the most relevant answer to the question regarding signs that may indicate hyperlipidemia.