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Case Reports
. 2012 Jan;5(1):43-5.
doi: 10.4103/0974-2077.94341.

Necrobiotic xanthogranuloma

Banavasi S Girisha  1 , Anantha Prasad Holla, Michelle Fernandes, Tonita M Noronha
Affiliations
Case Reports

Necrobiotic xanthogranuloma

Banavasi S Girisha et al. J Cutan Aesthet Surg. 2012 Jan.

Abstract

Necrobiotic xanthogranuloma is a rare, chronic, progressive granulomatous disorder which manifests as yellowish plaques and nodules, most commonly in the periorbital region. The exact aetiology is not known. It is commonly associated with monoclonal gammopathy. Various treatment modalities used include chemotherapy, intralesional and systemic steroids, radiotherapy and surgical excision. We report a case of necrobiotic xanthogranuloma involving the periorbital area causing cosmetic disfigurement.

Keywords: Necrobiotic xanthogranuloma; periorbital area; surgery.

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Conflict of interest statement

Conflict of Interest: None declared.

Figures

Figure 1
Figure 1
Yellowish brown plaques and nodules around the eye
Figure 2a
Figure 2a
Epitheloid histiocytic granulomas in the dermis with Touton and foreign body giant cells. The inset picture shows foci of the degenerated collagen with Touton giant cells
Figure 2b
Figure 2b
Entrapped hair follicle with lymphoid aggregates (H and E, ×100)
Figure 3
Figure 3
Intra-operative photograph showing the released full thickness flap over the cheek
Figure 4
Figure 4
No recurrence after 1 year
See this image and copyright information in PMC

References

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