A Case of Xanthoma Presenting with Blepharoptosis.

Shin, Chang Hyun; Woo, Kyung In; Chang, Hae Ran

Case Report

Journal of the Korean Ophthalmological Society 2002;43(12):2585-2588.
Published online December 1, 2002.

A Case of Xanthoma Presenting with Blepharoptosis.

Chang Hyun Shin, Kyung In Woo, Hae Ran Chang

Department of Ophthalmology, Sungkyunkwan University School of Medicine, Kangbuk Samsung Hospital, Korea. ortho@samsung.co.kr

안검하수를 동반한 상안검 황색종 1예

신창현 ( Chang Hyun Shin ) , 우경인 ( Kyung In Woo ) , 장혜란 ( Hae Ran Chang )

Abstract

PURPOSE
Xanthoma in the eyelids is a common dermatologic disorder. Generally these lesions do not affect the function of the eyelids. We report a case of xanthoma that has caused lid edema and ptosis. METHODS: A 46-year-old woman presented with ptosis and mass of the right upper eyelid for several months. We tried oral corticosteroid treatment, but the lesion was not lessened. We performed an excisional biopsy for the mass and ptosis correction. RESULTS: Histopathological examination of the mass revealed xanthoma. Lipid-laden histocytes infiltrated through the subcutaneous tissue, dermis, muscle layer and the preaponeurotic fat tissue. After surgical treatment, the patient was treated with Fenofibrate. There was a mild recurrence after a 18 months of follow-up.

Key Words: Xanthoma;Ptosis;Pseudotumor