Archives of Craniofacial Surgery (대한두개안면성형외과학회지)

Korean Cleft Palate-Craniofacial Association (대한두개안면성형외과학회)
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A case of intramuscular xanthelasma palpebrarum found during blepharoplasty

  • Chung, Young Hun (Department of Plastic Surgery, Graduate School, Kyung Hee University) ;
  • Kang, Sang Yoon (Department of Plastic Surgery, Kyung Hee University Medical Center, Kyung Hee University College of Medicine) ;
  • Choi, Woo Suk (Department of Radiology, Kyung Hee University Medical Center, Kyung Hee University College of Medicine)
  • Received : 2018.08.09
  • Accepted : 2018.10.24
  • Published : 2018.12.20
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Abstract

Xanthelasma palpebrarum is the most common cutaneous xanthoma found on the medial side of the eyelid. The typical lesion is usually a flat and yellowish plaque on the skin. However, we report on a unique case of intramuscular xanthoma found during blepharoplasty for the correction of ptosis. A 53-year-old male patient visited our department with a complaint of a ptotic eyelid. He was concerned about the cosmetic appearance and the uncomfortable feeling while opening his eyes, and wanted these problems to be solved. A yellowish plaque of about $0.3{\times}0.3cm$ in size was found in the orbicularis oculi muscle during the surgery. The lesion was excised and xanthelasma was confirmed with biopsy. We have found this specific case of xanthelasma palpebrarum in the only muscle. Therefore, a careful approach to clinical and histologic examination and imaging is required for patients with these lesions.

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References

  1. Rohrich RJ, Janis JE, Pownell PH. Xanthelasma palpebrarum: a review and current management principles. Plast Reconstr Surg 2002;110:1310-4.
  2. Nair PA, Singhal R. Xanthelasma palpebrarum: a brief review. Clin Cosmet Investig Dermatol 2017;11:1-5. https://doi.org/10.2147/CCID.S130116
  3. Jonsson A, Sigfuson N. Letter: significance of xanthelasma palpebrarum in the normal population. Lancet 1976;1:372.
  4. Ustunsoy E, Demir Z, Coskunfirat K, Kurtay A, Aksoylar A, Turkguven Y. Extensive bilateral eyelid ptosis caused by xanthoma palpebrarum. Ann Plast Surg 1997;38:177-8. https://doi.org/10.1097/00000637-199702000-00014
  5. Bergman R. The pathogenesis and clinical significance of xanthelasma palpebrarum. J Am Acad Dermatol 1994;30(2 Pt 1): 236-42. https://doi.org/10.1016/S0190-9622(94)70023-0
  6. Scott PJ, Winterbourn CC. Low-density lipoprotein accumulation in actively growing xanthomas. J Atheroscler Res 1967;7: 207-23. https://doi.org/10.1016/S0368-1319(67)80082-6
  7. Szalat R, Arnulf B, Karlin L, Rybojad M, Asli B, Malphettes M, et al. Pathogenesis and treatment of xanthomatosis associated with monoclonal gammopathy. Blood 2011;118:3777-84. https://doi.org/10.1182/blood-2011-05-356907
  8. Ozdol S, Sahin S, Tokgozoglu L. Xanthelasma palpebrarum and its relation to atherosclerotic risk factors and lipoprotein (a). Int J Dermatol 2008;47:785-9. https://doi.org/10.1111/j.1365-4632.2008.03690.x
  9. Tosti A, Varotti C, Tosti G, Giovannini A. Bilateral extensive xanthelasma palpebrarum. Cutis 1988;41:113-4.
  10. Bak H, Park SG, Jeon SY, Choi EH, Ahn SK. Unilateral xanthelasma forming a kissing-like lesion. J Dermatol 2005;32:220-2. https://doi.org/10.1111/j.1346-8138.2005.tb00750.x
  11. Mittelviefhaus H, Kreusser C, Bohringer D, Auw-Hadrich C. The underestimated depth of tissue invasion of xanthelasma: a histological study. Klin Monbl Augenheilkd 2011;228:14-8. https://doi.org/10.1055/s-0029-1245829