Journal List > J Korean Ophthalmol Soc > v.49(7) > 1008029

Min Lee and Kim: Juvenile Xanthogranuloma Presenting as a Nodule of the Eyelid

Abstract

Purpose

To report one case of juvenile xanthogranuloma presenting as a unilateral nodule of the eyelid.

Case summary

A 4-year-old girl presented with a solitary eyelid nodule. There were no other ophthalmologic problems. Excisional biopsy and simple wound closure were performed. A biopsy showed intense infiltration of histiocytes, lymphocytes, and multinucleated giant cells in the dermis, which was compatible with juvenile xanthograunuloma.

Conclusion

Juvenile xanthogranuloma should be considered in the differential diagnosis of a solitary eyelid tumor.

References

1. Park SH, Rah SH, Kim YH. Juvenile xanthogranuloma as an isolated corneoscleral limbal mass: a case report. Korean J Opthalmol. 2003; 17:63–6.
crossref
2. Adamson HG. A case of congenital xanthoma multiplex. Society intelligence, The Dermatological Society of London. Br J Dermatol. 1905; 17:222.
3. Mc Donagh JE. A contribution to our knowledge of the naevoxantho-endotheliomata. Br J Dermatol. 1912; 24:85–99.
4. Helwig EB, Hackney VC. Juvenile xanthogranuloma (nevoxanthoendothelioma). Am J Pathol. 1954; 30:625–6.
5. Parmley VC, George DP, Fannin LA. Juvenile xanthogranul oma of the iris in an adult. Arch Ophthalmol. 1998; 116:377–9.
6. Zimmerman LE. Ocular lesions of juvenile xanthogranulmoa. Nevoxanthoendothelioma. Trans Am Acad Ophthalmol Otolaryngol. 1965; 69:412–42.
7. Zimmerman LE. Ocular lesions of juvenile xanthogranuloma. Nevoxanthoendothelioma. Am J Ophthalmol. 1965; 60:1011–35.
8. Blank H, Eglick PG, Beerman H. Nevoxantho-endothelioma with ocular involvement. Pediatrics. 1949; 4:349–54.
crossref
9. Newell GB, Stone OJ, Mulllins JF. Juvenile xanthogranuloma and neurofibromatosis. Arch Dermatol. 1973; 107:262.
crossref
10. Sibulkin D, Olichney JJ. Juvenile xanthogranuloma in a patient with Niemann-Pick disease. Arch Dermatol. 1973; 108:829–31.
crossref
11. De Villez RL, Limmer BL. Juvenile xanthogranuloma and urticaria pigmentosa. Arch Dermatol. 1975; 111:365–6.
crossref
12. Cooper PH, Frierson HF, Kayne AL, Sabio H. Association of juvenile xanthogranuloma with juvenile myeloid leukemia. Arch Dermatol. 1984; 120:371–5.
13. Zelger BG, Zelger B, Steiner H, Mikuz G. Solitary giant xanthogranuloma and benign cephalic histiocytosis-variants of juvenile xanthogranuloma. Br J Dermatol. 1995; 135:598–604.
14. Sonoda T, Hashimoto H, Enjoji M. Juvenile xanthogranuloma: clinicopathologic analysis and immunohistochemical study of 57 patients. Cancer. 1985; 56:2280–6.
crossref
15. Miller RL, Sheeler LR, Bauer TW, Bukowski RM. Erdheim Chester disease. Case report and review of literature. Am J Med. 1986; 80:1230–6.
16. Mehregan DA. Winkelmann. Necrobiotic xanthogranuloma. Arch Dermatol. 1992; 128:94–100.
17. Hayashi N, Komatsu T, Kotmasu T. . Juvenile xantho granuloma presenting with unilateral prominent nodule of the eyelid: report of a case and clinicopathologic findings. Jpn J Ophthalmol. 2004; 48:435–9.

Figure 1.
Photographs of the patient’s eyelid: (A, B) Note a relatively large (7×5×4 mm) reddish yellow pedunculated solitary nodule in the canthal area.
jkos-49-1173f1.tif
Figure 2.
Light micrographs of excised mass. (A) hematoxylin and eosin-stained section showed intense infiltration of histiocytes, lymphocytes, and multinucleated giant cells in the dermis (H&E, ×100). (B) a multinucleated giant cell (arrow) (H&E, ×400).
jkos-49-1173f2.tif
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