A 25 year old woman who presented a severely pruritic eruption of 1 month's duration on the lateral surface of her left shin is described. The histopathologic examination revealed dense cellularity consisting of hemosiderin laden macrophages and multinucleated giant cells of both the Touton type-like and the foreign body type, associated with many blood vessels, suggesting hemosiderotic histiocytoma. Given the additional finding of foamy cytoplasm, this case could be called xanthomatized hemosiderotic histiocytoma