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Case Reports
. 2020 Aug 2;12(8):e9516.
doi: 10.7759/cureus.9516.

Multiple Xanthogranulomas in a Teenager

Katelyn Urban  1 , Miesha Merati  2 , Lydia Parker  2 , Carolyn Sok  3 , Rick Bains  4
Affiliations
Case Reports

Multiple Xanthogranulomas in a Teenager

Katelyn Urban et al. Cureus. .

Abstract

Juvenile xanthogranuloma (JXG) is a non-Langerhans cell histiocytosis that typically presents as a solitary lesion in infancy. Multiple lesions, especially in patients over one year of age, are rarely described in the literature. The authors report a case of a 17-year-old female who presented with multiple asymptomatic nodules and plaques. The diagnosis of xanthogranuloma was confirmed with histopathologic examination of foamy histiocytes and the characteristic Touton giant cells. The expected course of multiple JXG in older patients may differ from those presenting with a solitary lesion earlier in life.

Keywords: juvenile xanthogranuloma; multiple xanthogranuloma; nevoxanthoendothelioma; non-langerhans cell histiocytosis.

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Conflict of interest statement

The authors have declared that no competing interests exist.

Figures

Figure 1
Figure 1. Clinical exam reveals truncal pink to brown firm nodules and atrophic plaques.
Figure 2
Figure 2. Histopathologic examination of the lesion showing Touton giant cells (hematoxylin-eosin, original magnification ×40).
See this image and copyright information in PMC

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