Xanthoma disseminatum

Authors

  • Deepak Sharma Department of Dermatology, Era’s Lucknow Medical College, Lucknow, Uttar Pradesh, India
  • Nikha Garg Department of Dermatology, Era’s Lucknow Medical College, Lucknow, Uttar Pradesh, India
  • Tarunveer Singh Department of Dermatology, Era’s Lucknow Medical College, Lucknow, Uttar Pradesh, India
  • Kanwarjit S. Dhillon Department of Dermatology, Era’s Lucknow Medical College, Lucknow, Uttar Pradesh, India
  • Nishi Tandon Department of Pathology, Era’s Lucknow Medical College, Lucknow, Uttar Pradesh, India
  • Mohd Sadiq Umar Department of Dermatology, Era’s Lucknow Medical College, Lucknow, Uttar Pradesh, India
  • Vidhi Agrawal Department of Dermatology, Era’s Lucknow Medical College, Lucknow, Uttar Pradesh, India
  • Ritika Srivastava Department of Dermatology, Era’s Lucknow Medical College, Lucknow, Uttar Pradesh, India

Keywords:

Xanthoma, Non-Langerhans cell hisiocytosis, Diabetes insipidus

Abstract

Xanthoma disseminatum is a rare, benign, normolipemic form of non-Langerhans cell histiocytosis affecting the skin and mucous membranes. The cutaneous manifestations consist of hundreds of papules that are red – brown at first and then become yellowish. The papules symmetrically involve the eyelids, trunk, face and proximal extremities and in flexures and folds, tend quickly to merge, forming soft plaques. It is frequently associated with diabetes insipidus. Biopsy specimens show a mixture of histiocytes, foam cells, and inflammatory cells. Later, foam cells predominate and Touton giant cells are frequently present. This chronic disease has no known established treatment.

References

Komatsuda A, Chubach A, Miura AB. Virus associated haemophagocytic syndrome due to measles accompanied by acute respiratory failure. J Intern Med. 1995;34:203-6.

Atlman J, Winklemann RK. Xanthoma disseminatum. Arch Dermatol. 1962;86:582-9.

Calverly DC, Wismer J, Rosonthal D, deSa D, Barr RD. Xanthoma disseminatum in an infant with skeletal and marrow involvement. J Pediatr Hematol Oncol. 1995;17:61-5.

Fleishmajer R. Xanthoma disseminatum. In: Fleishmajer R, eds. Dyslipoides. 1st ed. Springfi eld, IL: Thomas; 1960: 176-183.

Yusuf SM, Mijinyawa MS, Musa BM, Mohammed AZ. Xanthoma disseminatum in a black African woman. Int J Dermatol. 2008;47(11):1145-7.

Carpo BG, Grevelink SV, Brady S, Gellis S, Grevelink JM. Treatment of cutaneous lesions of xanthoma disseminatum with CO2 laser. Dermatol Surg. 1999;25:751-4.

Seaton ED, Pillai GJ, Chu AC. Treatment of xanthoma disseminatum with cyclophosphamide. Br J Dermatol. 2004;150:346-9.

Pruvost C, Picard-Dahan C, Bonnefond B, Grossin M, Gehanno P, Souteyrand P, et al. Vinblastine treatment for extensive non-X histiocytosis (xanthoma disseminatum). Ann Dermatol Venereol. 2004;131(3):271-3.

Seaton ED, Pillai GJ, Chu AC. Treatment of xanthoma disseminatum with cyclophosphamide. Br J Dermatol. 2004;150(2):346-9.

Calverly DC, Wismer J, Rosenthal D, deSa D, Barr RD. Xanthoma disseminatum in an infant with skeletal and marrow involvement. J Pediatr Hematol Oncol. 1995;17(1):61-5.

Büyükavci M, Selimoglu A, Yildirim U, Ertekin V, Atasoy M. Xanthoma disseminatum with hepatic involvement in a child. Pediatr Dermatol. 2005;22(6):550-3.

Stojkovic T, de Seze J, Maurage CA, Rose C, Hache JC, Vermersch P. Atypical form of non-Langerhans histiocytosis with disseminated brain and leptomeningeal lesions. J Neurol Neurosurg Psychiatry. 2000;69(5):675-8.

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Published

2017-02-10