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. 2012 Jul;39(4):435-7.
doi: 10.5999/aps.2012.39.4.435. Epub 2012 Jul 13.

Bilateral circular xanthelasma palpebrarum

Affiliations

Bilateral circular xanthelasma palpebrarum

Jungmin Kim et al. Arch Plast Surg. 2012 Jul.
No abstract available

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Conflict of interest statement

No potential conflict of interest relevant to this article was reported.

Figures

Fig. 1
Fig. 1
Preoperative view. A 53-year-old female presented bilateral circular yellowish skin lesions around the upper and lower eyelids.
Fig. 2
Fig. 2
Schematic picture of the operation. The lesion of the lower eyelids were excised marginally and directly closed. Blepharoplasty with excision of xanthelasma palpebrarum was performed on the upper eyelids. The raw surface of the medial side was covered with the normal skin excised from the lateral side through the blepharoplasty incision. XP, xanthelasma palpebrarum; NS, normal skin; FTSG, full-thickness skin graft.
Fig. 3
Fig. 3
Postoperative 2-month view. The scars, which were made from marginal excision and direct closure, are shown in the lower eyelids. The sites of the full-thickness skin graft in the upper eyelids are shown with a good matching skin color and texture. There is no sign or symptom of ectropion.
Fig. 4
Fig. 4
Histopathologic findings of the left upper eyelid lesion. (A) Pale areas containing foamy cells are dispersed throughout the dermis (H&E, ×40). (B) Xanthoma cells. These foamy histiocytes are polygonal or rounded with a distinct cell membrane. Their nuclei were small and eccentric and their cytoplasms are stuffed with lipid vacuoles (black arrowheads) (H&E, ×400).

References

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