January 1997

Periorbital Papules and Nodules

Author Affiliations

CHU Pulpan, Toulouse, France

Arch Dermatol. 1997;133(1):102. doi:10.1001/archderm.1997.03890370109019

REPORT OF A CASE  An 88-year-old woman was referred for evaluation of skin lesions that had developed over a 3-year period. Her medical history was remarkable only for a moderate hypercholesterolemia. The lesions, which were asymptomatic, appeared polymorphic. In the facial area, there was an infiltration resembling xanthelasma in the periorbital region (Figure 1 ); the lesions on her eyelids and eyebrows were nodular but were not adherent to the tissue below the skin. In the abdominal region, there were large annular and arcuate plaques, several centimeters in diameter, with distinct, infiltrated, erythematous edges (Figure 2). On all 4 extremities, there were some lesions that resembled those on the trunk and others that were nodular, purple, sometimes telangiectasic, hard, and always mobile (Figure 3).The patient was otherwise in general good health. The rest of the examination revealed no other abnormalities; in particular, there was no lymphadenopathy or hepatosplenomegaly.A

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