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In this section we have spot diagnoses posted on a daily basis since June 2010, now over 1700! You can review the archived cases and read the suggested diagnoses by users and the final comment by Dr Uma Sundram, the Editor-in-Chief and main spot diagnosis host. Case are uploaded each week day by 10 a.m. UK time with the correct diagnosis will generally be posted at 8 p.m. UK time. Why not view the most recent spot diagnosis and proffer a diagnosis?

Case Number : Case 2514 - 25 February 2020 Posted By: Uma Sundram

Please read the clinical history and view the images by clicking on them before you proffer your diagnosis.
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35 year old male with large (10 cm) lesion on right foot.


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Krishnakumar subramanian

Posted

xanthoma , let us get the lipid profile so we can classify whether it is lipemia xanthoma or normolipemic xanthoma

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Agree with Giedrius. It isn't the periorbital region, but...why not a Necrobiotic XG? 

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Eman El-Nabarawy

Posted (edited)

There is a report of a solitary variant of NX without paraproteinemia over the thigh. 

Edited by Eman El-Nabarawy

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Uma Sundram

Posted

Tendinous xanthoma. Patient has normal lipid profiles. There are reports of NXG type changes in patients with lesions that otherwise look like tendinous or tuberous xanthoma. No paraproteinemia documented in this patient and no other lesions.

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Krishnakumar subramanian

Posted

can we call it as normolipemic xanthoma presenting as solitary xanthoma leg. were there no lesions

it could be not one of the plant sterols

since no paraprotein documented we need to monitor the patient

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