Case Number : case 97 Posted By: Guest

sergio arruda - fiocruz bahia (brazil) Wrote:

xanthelasma

Submitted on 24/10/2010 16:25
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Phillip McKee - Overseas consultations (Arizona, USA) Wrote:

Well done the final diagnosis was Xanthelasma for all the reasons mentioned. Have a great weekend and next case will be posted on Monday

Submitted on 22/10/2010 21:37
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Mona Abdel-Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Hi all, I just got an idea, the muscles in the lower part of the field look like striated muscles of the face (facial expression muscles) This is a further proof that we are in the eyelid like Marcela has said. I believe this is Xanthelasma. Thank u Marcela. I should have linked things together better in the morning!!!

Submitted on 22/10/2010 14:35
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Juan Carlos Garcés - Hospital Oncológico / Hospital Luis Vernaza (Guayaquil Ecuador) Wrote:

Good morning... Ballon cell nevus vs. Xanthelasma

Submitted on 22/10/2010 14:11
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Carlos B - (Spain) Wrote:

xanthelasma

Submitted on 22/10/2010 12:53
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Donald Gates - USA () Wrote:

Pleomorphic fibroma with clear cell change

Submitted on 22/10/2010 12:52
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Mona Abdel-Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

I liked the idea of xanthelasma suggested by Marcela. In the viewing of these cells as foam cells, xanthelasma is a nice idea and I will also like to add the possibility of diffuse plane xanthoma.

Submitted on 22/10/2010 12:07
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Marcela Saeb Lima - Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán (Mexico City) Wrote:

Diffuse infiltrate of clear cells, some foamy ones, with small hyperchromatic nuclei and some of them multinucleated. Balloon cell nevus might be a diagnosis. There are two inks in a thin skin maybe around eyelid. Maybe another possibility could be xanthelasma.

Submitted on 22/10/2010 11:48
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Marwa Fawzi - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

Welcome back ,Sir.We all were missing you.Well,i did a search on the clear cell neoplasms,i did not find one that fits exactly except balloon cell nevus-although the affection must be greater than it is present here-???

Submitted on 22/10/2010 10:02
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Eman El-Nabarawy - Cairo University (Egypt) Wrote:

Lipidized xanthogranuloma (deep), Balloon cell nevus.

Submitted on 22/10/2010 08:54
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Mona Abdel-Halim - Dermatology Department, Faculty of Medicine, Cairo University (Egypt) Wrote:

I think I am seeing collections of large clear cells scattered in the dermis associated with collagen thickening. Thinking of: DERMATOFIBROMA OF BALLOON CELL TYPE. DDx: Balloon cell nevus, Less likely PEcoma.

Submitted on 22/10/2010 07:56
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