January 1967

Xanthomas at Sites of Infection and Trauma

Author Affiliations

From the Department of Surgery, The University of Nebraska College of Medicine, Omaha.

Arch Surg. 1967;94(1):39-40. doi:10.1001/archsurg.1967.01330070041010

INFECTION and trauma are among the causes of xanthomas (Table). We have had a patient who developed a xanthoma over her Achilles tendon after injury and recurrent phlebitis and lymphangitis. She also had postphlebitic edema. Control of the infection and edema controlled the xanthoma.

Report of Case  In July 1962, a 14-year-old girl abraded the skin over her Achilles tendon. This resulted in an abscess, acute thrombophlebitis, and lymphangitis of the leg and thigh. In October 1962 and in August 1963, she again developed thrombophlebitis and lymphangitis of the left leg and thigh. In August 1963, we resected a 2.8×2.5×1.0 cm tumor that had grown at the site of the abrasion overlying her left Achilles tendon. The defect was closed with a skin graft measuring 4.5×3.0 cm. Diagnosis by microscopic examination was xanthoma of the skin.In January 1964, her left leg and thigh became tender, edematous, and hot. A

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