Concluded Case

Xanthoma with Xanthelesma

Patient presented in the OPD with these lesions over whole body. Lesions are painless,non tender,from last 30 yrs gradually increased in size from last 10 yrs.. Took Rx from some hospitals but not relieved. He is a K/C/O Ulcerative Colitis from past 6 yrs, on medication Mesacol OD 1.2 gm OD. He is a K/C/O BPH Grade 2 and on Urimax-D from past 4 months. Is it Xanthoma with Xanthelesma? ?Lipoma. What are the differential diagnosis for the lesions and Treatment??

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Concluded answer

This is a case of Xanthomas Certain factors need to be ruled out Primary dyslipidaemias associated with xanthomas can include: Hypercholesterolaemia eg, familial type Combined dyslipidaemia, eg, Type III hyperlipoproteinaemia Hypertriglyceridaemia, eg, Types I, IV, and V hyperlipoproteinaemia Cerebrotendinous xanthomatosis and sitosterolaemia. Secondary dyslipidaemias Secondary dyslipidaemias associated with xanthomas include: Obesity Diabetes mellitus and insulin resistance Cholestatic liver disease, such as primary biliary cirrhosis Nephrotic syndrome Medications, such as: Oestrogens Tamoxifen Oral retinoids Prednis(ol)one Ciclosporin Treatment- no satisfactory treatment available. For cosmetic purposes laser treatment is an option

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This is a case of Xanthomas Certain factors need to be ruled out Primary dyslipidaemias associated with xanthomas can include: Hypercholesterolaemia eg, familial type Combined dyslipidaemia, eg, Type III hyperlipoproteinaemia Hypertriglyceridaemia, eg, Types I, IV, and V hyperlipoproteinaemia Cerebrotendinous xanthomatosis and sitosterolaemia. Secondary dyslipidaemias Secondary dyslipidaemias associated with xanthomas include: Obesity Diabetes mellitus and insulin resistance Cholestatic liver disease, such as primary biliary cirrhosis Nephrotic syndrome Medications, such as: Oestrogens Tamoxifen Oral retinoids Prednis(ol)one Ciclosporin Treatment- no satisfactory treatment available. For cosmetic purposes laser treatment is an option

Thank you doctor
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? XANTHELASMA .. NEED'S.. TCA ACID.. SURGICAL EXCISION.. LASER TREATMENT..

Tnx Dr Vipin Bihari Jain sir
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XANTHALESMA . RULE OUT SYSTEMIC DIS ORDERS. IF FACILITIES ARE AVAILABLE LASER ABALATION LESS TROUBLE SOME.

Look like xanthoma rule out systemic disease treatments for xanthoma include surgical removal, laser surgery, or chemical treatment with trichloroacetic acid.

SUGGESTIVE. OF XANTHELASMA POSSIBLY DUE.. TO METABOLIC. .DISORDERS HYPERLIPIDAEMIA

Commonly cited treatments include topical trichloroacetic acid, liquid nitrogen cryotherapy, and various lasers including carbon dioxide, Er:YAG, Q-switched Nd:YAG, and pulse dye laser. However, traditional surgical excision has also been used. This article reviews these currently accepted modalities of treatment.

XANTHELASMA NEED LIPID PROFILE? RX TC ACID

Obviously XANTHELASMA

Thanks Dr.Dinesh Gupta, Dr. Kute Ankush
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Xanthema Hypercholestrimia Tricholeroacetic acid 100 percent

Kushtha ? Rx langhan upkram 2 to 3 weeks, Chikitsa sutra Brihad manjishthadi kashay syrup 20ml bd Khadiaradi vati tab 2bd Amyron tab 2bd SH tab 1bd locally, Mahamarichyadi oil and cutis cream

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