Xanthelasma

  • Taha Elghazi
  • Zouheir Hafidi

Abstract

We report the case of a 74-year old hypertensive patient with stable blood pressure under treatment, admitted to hospital for cataract surgery on right eye and in whom clinical examination fortuitously showed richly vascularized, yellowish lesions localized at the level of both upper and lower eyelids, covered by a thin skin. A full lipid profile including total cholesterol, HDL, LDL assay and blood triglycerides was required and showed hypercholesterolemia 4.2 g/L with HDL 0.5 g/l and LDL 2.5 g/l. Xanthelasma are yellowish patch on the eyelids caused by an accumulation of cholesterol and lipids. They appear as bumps or small skin growths on the eyelids, especially near the nose, as in the case of our patient. Xanthelasma is a specific type of xanthoma. Xanthomas are subcutaneous benign cholesterol deposits that accumulate in tissue. They are due to a familial metabolic predisposition and are related to familial hypercholesterolemia. Treatment can be surgical or by laser.

The Pan African Medical Journal 2016;25

Author Biographies

Taha Elghazi

Université Mohammed V Souissi, Service d’Ophtalmologie A de l’Hôpital des Spécialités, Centre Hospitalier Universitaire, Rabat, Maroc

Zouheir Hafidi

Université Mohammed V Souissi, Service d’Ophtalmologie A de l’Hôpital des Spécialités, Centre Hospitalier Universitaire, Rabat, Maroc

Published
2016-10-06
Section
Articles

Journal Identifiers


eISSN: 1937-8688