[Bilateral adult periocular xanthogranuloma].
METHODS
A 62-year-old woman was evaluated for a bilateral subconjunctival mass that had been present for 6 months. With magnetic resonance imaging the lesion could not be delineated form the lacrimal glands. A biopsy was performed and histologic examination exhibited a xanthogranulomatous lesion with multiple giant-cells of the Touton type. The differential diagnosis of the adult xanthogranuloma is Erdheim-Chester disease, necrobiotic granuloma, xanthoma, Langerhans histiocytosis, and Rosai-Dorfman syndrome.


CONCLUSIONS
Hyperlipemia should be excluded, in addition, in the presence of necrobiosis, paraproteinemia.
Spraul
C W
CW
L. F. Montgomery Eye Pathology Laboratory, Emory University School of Medicine Atlanta, GA, USA.
Grossniklaus
H E
HE
Lang
G K
GK
D003228:Conjunctiva / Q000473:pathology; D003229:Conjunctival Diseases / Q000175:diagnosis* / Q000473:pathology; D003937:Diagnosis, Differential; D005260:Female; D006099:Granuloma / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D008875:Middle Aged; D014973:Xanthomatosis / Q000175:diagnosis* / Q000473:pathology
Bilaterales adultes periokuläres Xanthogranulom.