Dermatology xanthomatous

  • How are xanthomas formed?

    Background: Xanthomas are well circumscribed lesions in the connective tissue of the skin, tendons or fasciae that predominantly consist of foam cells; these specific cells are formed from macrophages as a result of an excessive uptake of low density lipoprotein (LDL) particles and their oxidative modification..

  • How do you treat xanthomas skin?

    Diabetes and cholesterol levels that are well-controlled are less likely to cause xanthoma.
    Other treatments for xanthoma include surgical removal, laser surgery, or chemical treatment with trichloroacetic acid.
    Xanthoma growths can return after treatment, however, so these methods don't necessarily cure the condition..

  • How is cutaneous xanthoma formed?

    Earlier studies suggested the cutaneous lipid accumulation was a result of de novo lipid synthesis [6,7].
    Primary or secondary hyperlipidemic states can lead to xanthoma formation.
    Primary hyperlipidemia results from genetic defects in receptors, receptor ligands, or enzymes involved in lipid metabolism..

  • What is a Xanthomatous appearance?

    Xanthoma is a skin condition in which certain fats build up under the surface of the skin.
    Xanthomas are raised, waxy-appearing, frequently yellowish-colored skin lesions.
    They may be associated with an underlying lipid (cholesterol/triglyceride) abnormality..

  • What is the most common type of xanthoma?

    Xanthelasma.
    Xanthelasma (also known as xanthelasma palpebrarum or xanthelasma palpebrum), is the most common form of xanthoma.
    It is a type of plane xanthoma usually located around the medial canthus of the upper eyelid.
    Upper and lower eyelids can be affected symmetrically..

  • What is xanthomatous reaction?

    In cases of xanthomatous foreign body reaction, xanthoma cells are admixed with foreign body giant cells with keratin flakes and are present within necrotic areas of the tumor or next to an area of ruptured cyst..

  • Types

    Xanthelasma.Xanthoma tuberosum.Xanthoma tendinosum.Eruptive xanthoma.Xanthoma planum.Palmar xanthoma.Tuberoeruptive xanthoma.Other types.
  • Intimal Xanthomas
    “Xanthoma” is a general pathological term that describes focal accumulations of fat-laden macrophages.
    Histologically, intimal xanthomas are lesions composed of infiltrating macrophage foam cells and, to a lesser extent, lipid-laden SMCs.
  • Xanthomas are localized lipid deposits within an organ system.
    They are often an important sign of systemic disease.
    To avoid the high morbidity and mortality associated with the underlying systemic condition, it must be promptly diagnosed and treated.Aug 29, 2022
Mar 13, 2019Tendon xanthomas manifest as firm-to-hard subcutaneous nodules with normal overlying skin. They are typically found overlying the Achilles 
Mar 13, 2019Xanthomas are macules, papules, nodules, or plaques distinguished by a yellow color due to the lipid found within foam cells that are the 
Xanthomas are localized skin blemishes that form due to a buildup of fats underneath the skin surface. They are usually caused by high levels of blood lipids or fats, and typically affect adults, although children with genetically high cholesterol in the blood may also present with xanthomas.

Are You Confident of The Diagnosis?

Xanthomas are macules, papules, nodules

Treatment Options

Systemic Medications to lower plasma lipids – Fibric acids – Niacin – HMG CoA reductase inhibitors (Statins) – Bile acid sequestrants – Ezetemibe

Optimal Therapeutic Approach For This Disease

The treatment of xanthomas is directed at correcting the underlying lipid abnormality

Patient Management

The management of a patient with a xanthomatous lesion is unique for each subtype and can be accessed in each subsection. However, some important

What Is The Evidence?

Cruz, PD, East, C, Bergstresser, PR. “Dermal, subcutaneous, and tendon xanthomas: diagnostic markers for specific lipoprotein disorders”

Can xanthomatous lesions be differentially diagnosed?

Some of the commonly encountered items in the differential diagnosis of xanthomatous lesions are included below: Eruptive xanthomas especially during the acute inflammatory phase can mimic acne, molluscum, and drug reactions

Tendon and tuberous xanthomas can be mistaken for cysts, lipomas, and other benign neoplasms

What is a xanthoma skin lesion?

A xanthoma is a skin lesion caused by the accumulation of fat in macrophages in the skin

Less commonly, a xanthoma will occur in a subcutaneous layer

Who gets xanthomas? Xanthomas are usually a skin sign of disorders of lipid metabolism (dyslipidaemias) or occur in histiocytosis; the former is the focus of this page

What is eruptive xanthoma?

September 2018

Eruptive xanthoma presents as crops of pink papules which are often pruritic

It occurs as a result of high concentrations of plasma triglycerides

Many patients have uncontrolled diabetes

The xanthomas usually disappear when the underlying condition is treated

Xanthomata are skin lesions caused by the accumulation of fat in macrophages in the skin and more rarely the adipose tissue. Most types of xanthoma are indicative of disorders of lipid metabolism, and they may also be associated with others conditions such as diabetes mellitus or renal failure.

Medical condition

Xanthomatous biliary cirrhosis, is a condition in which there is hyperlipoproteinemia due to liver disease resulting in plane xanthomas.

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