Papulöse Xanthome der Lider

Background Xanthomatous tumors are common tumors of the eyelid. We report the rare case of a patient with a papular xanthoma of the eyelid. Case report The 87-year old patient suffered from multiple xanthomatous lesion in the face and the trunk. The tumors were painless and elastic. A biopsy of the largest tumor was performed. Results The histologic examination revealed multiple histicytes and giant cells of the Touton type. Immunhistochemistry showed a positive stain for CD68. Conclusions The clinical, histologic and immunhistochemical findings are typical for a papular xanthoma and help to differentiate from other xanthomatous lesions such as xanthelasma, xanthoma disseminatum; nekrobiotic xanthogranuloma and fibrous histiocytoma.