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Case Reports
. 2024 Sep-Oct;69(5):411-413.
doi: 10.4103/ijd.ijd_244_23. Epub 2024 Oct 29.

Verruciform Xanthoma Presenting Within an Ear Piercing

Hannah E Myers  1 , Subhapradha Rangarajan  2 , Michael Roberts  3   4 , Christopher Buckley  3   4 , Josh Hammel  3   4
Affiliations
Case Reports

Verruciform Xanthoma Presenting Within an Ear Piercing

Hannah E Myers et al. Indian J Dermatol. 2024 Sep-Oct.

Abstract

Verruciform xanthomas are rare lesions affecting 0.025-0.5% of the population. They present as an asymptomatic, slow growing solitary lesion on the oral mucosa. Commonly misdiagnose as squamous cell carcinoma, verruca vulgaris, leukoplakia, and lichen planus. Presented is a 22 year old male with a painful verruciform xanthoma on the posterior ear lobe in a prior ear piercing.

Keywords: Keloid; trauma-induced; verruciform xanthoma.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Pedunculated papule on the posterior lobule of the ear
Figure 2
Figure 2
Epidermal hyperplasia with hyperkeratosis and columns of parakeratotic cornified cells within invaginations of epithelium (H and E, 4×)
Figure 3
Figure 3
Lipid-laden macrophages within dermal papillae (H and E, 40×)
See this image and copyright information in PMC

References

    1. Hegde U, Doddawad VG, Sreeshyla H, Patil R. Verruciform xanthoma: A view on the concepts of its etiopathogenesis. J Oral Maxillofac Pathol. 2013;17:392–6. - PMC - PubMed
    1. Warren HR. The Vexing Verruciform Xanthoma. American Academy of Dermatology. 2022. [[Last accessed on 2022 Oct 25]]. Available from: https://www.aad.org/dw/dw-insights-and-inquiries/archive/2022/vexing-ver... .
    1. Getz GI, Parag-Sharma K, Reside J, Padilla RJ, Amelio AL. 1Identification of NSDHL mutations associated with CHILD syndrome in oral verruciform xanthoma. Oral Surg Oral Med Oral Pathol Oral Radiol. 2019;128:60–9. - PubMed
    1. Stephens M, Rubin AI, Perman MJ. Verruciform xanthoma in a patient with recessive dystrophic epidermolysis bullosa: Case report and literature review. Pediatr Dermatol. 2020;37:355–7. - PubMed
    1. Evan-Browning E, Rork J, O’Donnell P, Elaba Z, Deng A, Wiss K. Verruciform xanthoma in recessive dystrophic epidermolysis bullosa and keratitis-ichthyosis-deafness syndrome: Report of two cases and a review of the literature. Pediatr Dermatol. 2020;37:176–9. - PubMed

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