Korean J Dermatol.  2007 Mar;45(3):290-293.

A Case of Xanthoma Disseminatum Presenting as Pedunculating Nodules and Plaques

Affiliations
  • 1Department of Dermatology and Cutaneous Biology Research Institute, Yonsei University College of Medicine, Seoul, Korea. kimsc@yumc.yonsei.ac.kr

Abstract

Xanthoma disseminatum is a rare mucocutaneous xanthomatosis classified as a benign form of non-Langerhans cell histiocytosis. We describe an illustrative case with extensive mucocutaneous involvement which was unresponsive to treatment. The patient presented with numerous variable-sized, yellow-brown papules and confluent plaques on the perorbital, perioral, neck, axilla, upper chest, groin, perianal, antecubital fossae and popliteal fossae including the upper respiratory tract. She was treated with oral cyclophosphamide but showed no clinical improvement. She then developed dyspnea, dysphagia and experience defecation difficulties, so was treated with palliative surgery to help relieve the symptoms.

Keyword

Non-Langerhans cell histiocytosis; Xanthoma disseminatum

MeSH Terms

Axilla
Cyclophosphamide
Defecation
Deglutition Disorders
Dyspnea
Groin
Histiocytosis
Histiocytosis, Non-Langerhans-Cell*
Humans
Neck
Palliative Care
Respiratory System
Thorax
Xanthomatosis*
Cyclophosphamide
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