๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
XANTHELASMA
XANTHELASMAย ย ICD-10: H02.6
โข Most common of all xanthomas. In most cases, an isolated finding unrelated to hyperlipidemia.
โข Occurs in individuals >50 years; however, when in children or young adults, it is associated with familial hypercholesterolemia (FH) or familial dysbetalipoproteinemia (FD).
โข Skin lesions are asymptomatic. Soft, polygonal yellow-orange papules and plaques localized to upper and lower eyelids (Fig. 15-9) and around inner canthus. Slow enlargement from tiny spots over months to years.
โข Cholesterol should be estimated in plasma; if enhanced, screening for type of hyperlipidemia (FH or FD). If resulting from hyperlipidemia, complication with atherosclerotic cardiovascular disease may be expected.
โข Laser, excision, electrodesiccation, or topical application of trichloroacetic acid. Recurrences are not uncommon.
โข Synonyms: Xanthelasma palpebrarum, periocular xanthoma.
FIGURE 15-9 โข XanthelasmaโMultiple creamy-orange, slightly elevated dermal papules on the eyelids of a normolipemic individual.