Abstract

GARCIA-IGARZA, Horacio et al. Surgical treatment of eyelid xanthogranulomas. Case report. Cir. plást. iberolatinoam. [online]. 2022, vol.48, n.2, pp.207-216.  Epub Sep 19, 2022. ISSN 1989-2055.  https://dx.doi.org/10.4321/s0376-78922022000200012.

Xanthogranuloma is a rare lesion that characterizes the large group of non-Langerhans cell histiocytosis (NLCH). Different variants of NLCH: xanthoma, juvenile xanthogranuloma, xanthoma disseminatum, necrobiotic xanthogranuloma, reticulum histiocytosis, Rosai Dorfman disease, and a heterogeneous set of rare diseases that share common cutaneous and histopathological manifestations are described as orbital xanthogranulomatous disease of the adult (EXOA).

Erdheim Chester disease (ECD) is included in this last group. Our objective is to describe a clinical case with great systemic involvement and skin lesions in both upper and lower eyelids that invalidate the patient physically and psychologically. We present its surgical resolution with wide resection of lesions and reconstruction with total skin grafts with a very good aesthetic and functional result.

Keywords : Xanthogranuloma; Eyelids; Skin graft.

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