title: Gastric xanthelasma: an unusual endoscopic finding.
abstract: Gastric xanthelasma is a rarely encountered finding in upper gastrointestinal (GI) endoscopy. It is characterised by yellowish-white plaque in the stomach especially in the antrum or the pyloric region. Histologically it consists of foamy macrophages in the lamina propria. It is a benign condition but its appearance mimics malignancy and it is found to be associated with various conditions, some of which are considered premalignant so, histological confirmation is necessary. We present a case of a 44-year-old man who presented to the medicine outpatient department for intermittent pain in epigastrium for the last 2 years. His physical examination was normal. His haematological and biochemical investigations were also normal. His upper GI endoscopy revealed yellowish-white plaque in fundus of the stomach, which was diagnosed as gastric xanthelasma by histological examination with associated chronic gastritis.
authors.affiliation: Department of Medicine, Sikkim Manipal Institute of Medical Science, Gangtok, Sikkim, India.
authors.forename: Mona
authors.initials: M
authors.lastname: Dhakal
authors.forename: O P
authors.initials: OP
authors.lastname: Dhakal
authors.forename: Dhurba
authors.initials: D
authors.lastname: Bhandari
authors.forename: Amlan
authors.initials: A
authors.lastname: Gupta
mesh_terms: D053799:2-Pyridinylmethylsulfinylbenzimidazoles / Q000627:therapeutic use; D000328:Adult; D001707:Biopsy, Needle; D002908:Chronic Disease; D005500:Follow-Up Studies; D005748:Gastric Fundus / Q000473:pathology; D005756:Gastritis / Q000150:complications / Q000175:diagnosis / Q000473:pathology*; D005773:Gastroscopy / Q000379:methods*; D006801:Humans; D007150:Immunohistochemistry; D007194:India; D008297:Male; D000077402:Pantoprazole; D035583:Rare Diseases; D018570:Risk Assessment; D013272:Stomach Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology; D017211:Treatment Failure; D014973:Xanthomatosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy / Q000473:pathology
chemical_list: D053799:2-Pyridinylmethylsulfinylbenzimidazoles; D000077402:Pantoprazole