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Klin Monbl Augenheilkd 1997; 211(11): 342-344
DOI: 10.1055/s-2008-1035145
Diagnostisches Forum

© 1997 F. Enke Verlag Stuttgart

Bilaterales adultes periokuläres Xanthogranulom

Bilateral Adult Periocular XanthogranulomaChristoph W. Spraul2 , Hans 1. Grossniklaus1 , Gerhard 2. Lang2
  • 1L. F. Montgomery Eye Pathology Laboratory, Emory University School of Medicine Atlanta, GA (Direktor: Prof. Dr. H. E. Grossniklaus)
  • 2Universitäts-Augenklinik und Poliklinik Ulm (Direktor: Prof. Dr. G. K. Lang)
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Publication History

Manuskript eingereicht am 02.08.1997

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Publication Date:
25 March 2008 (online)

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Summary

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.

Key words

conjunctiva - orbit - xanthogranuloma

Schlüsselwörter

Konjunktiva - Orbita - Xanthogranulom