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Xanthelasma

Adriana Arocha, MD Reviewed 04/2024
 


BASICS

The term xanthelasma palpebrarum (XP) refers to xanthomas that appear on the eyelids. They are also commonly known as xanthelasma. They are benign yellow papules or plaques located on inner can...

DIAGNOSIS

HISTORY

  • Usually asymptomatic, but depending on size and location, XP could cause visual disturbances.

  • Causes aesthetic concern  

PHYSICAL EXAM

  • Symmetric yellow-orange initially polygonal to roun...

TREATMENT

  • Treatment is mainly cosmetic, as XP is benign in nature and usually asymptomatic.

  • There is no gold standard treatment. 

  • Treatment is chosen by the patient after discussion with the physician a...

FOLLOW-UP RECOMMENDATIONS

May require interdisciplinary team to have a holistic evaluation and treatment due to possible associated conditions; including dietician, PCP, endocrinology, dermatology, op...

REFERENCES

1
Nair P, Singhal R. Xanthelasma palpebrarum—a brief review. Clin Cosmet Investig Dermatol. 2017;11:1–5.
2
Chang HC. Serum lipids and risk of atherosclerosis in xanthelasma palpebrarum: a syst...

CODES

CLINICAL PEARLS

  • Xanthelasma palpebrarum is the most common cutaneous xanthoma.

  • XP are benign lesions characterized by symmetric yellowish papules or plaques on medial periorbital area; usually the uppe...

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