Xanthomatosis papular normolipemic E78.29

Author: Prof. Dr. med. Peter Altmeyer

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Last updated on: 20.10.2022

Synonym(s)

Normolipemic papular xanthomatosis; Papular normolipemic xanthomatosis

Definition
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Generalized xanthomatosis with xanthomas up to smallerbsized without evidence of hyperlipidemia. The disease is classified in the xanthogranuloma family.

Manifestation
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Only for adults.

Localization
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Face, trunk, rarely mucous membrane involvement.

Clinical features
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2-15 mm large, yellowish, roundish, maculopapular efflorescences.

Histology
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Accumulation of fat-storing foam cells in the upper and middle corium; admixtures of lymphocytes, eosinophilic leukocytes and giant cells.

Electron microscopy: Detection of regularly structured "laminated bodies".

Differential diagnosis
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Therapy
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Spontaneous healing possible. If necessary, excision or curettage, ablation with theCO2 laser or with the help of cryosurgery, see below Xanthelasma.

Progression/forecast
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Variable course with tendency to spontaneous healing.

Literature
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  1. Breier F et al (2002) Papular xanthoma: a clinicopathological study of 10 cases. J Cutan Pathol 29: 200-206
  2. Bundino S et al (1988) Papular Xanthoma. Dermatologica 177: 382–385
  3. Caputo R et al (2003) Papular xanthoma associated with angiokeratoma of Fordyce: considerations on the nosography of this rare non-Langerhans cell histiocytoxanthomatosis. Dermatology 206: 165-168
  4. Sanchez RL et al (1985) Papular Xanthoma. Arch Dermatol 121: 626-631
  5. Yoshimura T et al (1994) Generalized normolipemic plane xanthomatosis associated with relapsing polychondritis. Acat Derm Venereol 74: 221-223

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Last updated on: 20.10.2022