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July 1934


Arch Derm Syphilol. 1934;30(1):117-122. doi:10.1001/archderm.1934.01460130125017

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Xanthelasmatosis. Presented by Dr. H. E. Michelson, Minneapolis.  This white woman, aged 49, complains of hoarseness of two or three years' duration and of cutaneous lesions which appeared in May, 1933.There are numerous soft yellow papules from 1 to 3 mm. in diameter about the mouth and on the sides of the neck. There is also a large triangular lesion, measuring 5 cm. at the base, on the right shoulder. This lesion is orange-yellow and of the consistency of chamois; it is surrounded by a lilac zone and is traversed by telangiectatic vessels at the periphery. Laryngoscopic examination showed involvement of the larynx, and similar changes in the eyegrounds were found on ophthalmoscopic examination.The blood sugar (fasting) was 112 mg. per hundred cubic centimeters' the cholesterol, from 90 to 120 mg. On routine examination the blood and urine were normal. Biopsy showed a xanthelasmatous formation with intracellular lipoid

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