Cholesterol, extracellular L95.1

Urbach, 1967

Erythema elevatum diutinum with secondary lipid deposits in the connective tissue (see Wolff HH et al. 1978; see also further discussion under Erythema elevatum diutinum).

Later in life.

Extremities, face, neck and buttocks.

Relapsing, brownish to livid, coarse confluent nodules and infiltrated plaques with a yellowish center. Additionally, facultative efflorescences corresponding to erythema elevatum diutinum with yellowish-brownish hue, in the dependent areas brownish-purple. Reported in association with these skin lesions were hepatosplenomegaly, diffuse or nodular compaction in the area of the lungs.

Leucocytoclastic vasculitis, dense mixed cell infiltrate, extracellular cholesterol deposition.

Corresponding to the erythema elevatum diutinum. If necessary experiment with laser treatment(argon,_{CO2 laser}) or electrocautery. See also Xanthelasma.

Chronic, intermittent course, healing of the skin changes with hyperpigmentation or scarring.

1. Urbach E, Epstein E, Lorenz K (1967) Extracellular cholesterolosis. Arch Dermatol Syphil (Berlin) 166: 243-272.

2. Wolff HH et al (1978) Erythema elevatum diutinum. I. Electron microscopy of a case with extracellular cholesterinosis. Arch Dermatol Res 15:261:7-16.