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  • Title: [Bilateral adult periocular xanthogranuloma].
    Author: Spraul CW, Grossniklaus HE, Lang GK.
    Journal: Klin Monbl Augenheilkd; 1997 Nov; 211(5):342-4. PubMed ID: 9527593.
    Abstract:
    PATIENT: A 62-year-old woman was evaluated for a bilateral subconjunctival mass that had been present for 6 months. With magnetic resonance imaging the lesion could not be delineated form the lacrimal glands. A biopsy was performed and histologic examination exhibited a xanthogranulomatous lesion with multiple giant-cells of the Touton type. The differential diagnosis of the adult xanthogranuloma is Erdheim-Chester disease, necrobiotic granuloma, xanthoma, Langerhans histiocytosis, and Rosai-Dorfman syndrome. CONCLUSION: Hyperlipemia should be excluded, in addition, in the presence of necrobiosis, paraproteinemia.
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