title: [Bilateral adult periocular xanthogranuloma].
abstract: 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.
authors.affiliation: L. F. Montgomery Eye Pathology Laboratory, Emory University School of Medicine Atlanta, GA, USA.
authors.forename: C W
authors.initials: CW
authors.lastname: Spraul
authors.forename: H E
authors.initials: HE
authors.lastname: Grossniklaus
authors.forename: G K
authors.initials: GK
authors.lastname: Lang
mesh_terms: 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
vernacular_title: Bilaterales adultes periokuläres Xanthogranulom.