Necrobiotic xanthogranuloma of the eyelids with paraproteinemia

Necrobiotic xanthogranuloma of the eyelids with paraproteinemia Necrobiotic xantogranuloma (NXG) with paraproteinemia is characterized by multiple nodules or plaques that involve the periorbital area. The lesions frequently become inflamed leading to superficial ulceration; multiple myeloma is present in some patients. A case of NXG with IgG monoclonal gammopathy is reported; the ocular symptoms were clinically pre-eminent. Histologically the granulomas are characterized by collagen necrobiosis, many foamy histiocytes, Touton giant cells, bizarre foreign body cells, and were positive for light chain kappa. In this patient, chemotherapy did not have a favorable response, therefore the lesions were excised and the resulting defects were covered with split skin grafts. The patient died seven months after surgical treatment, this was the result of complications of myeloma. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png European Journal of Plastic Surgery Springer Journals

Necrobiotic xanthogranuloma of the eyelids with paraproteinemia

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Publisher
Springer-Verlag
Copyright
Copyright © 1999 by Springer-Verlag Berlin Heidelberg
Subject
Medicine & Public Health; Plastic Surgery
ISSN
0930-343X
eISSN
1435-0130
D.O.I.
10.1007/s002380050141
Publisher site
See Article on Publisher Site

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