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Article
April 1947

CHICAGO DERMATOLOGICAL SOCIETY

Arch Derm Syphilol. 1947;55(4):556-572. doi:10.1001/archderm.1947.01520040125016

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Abstract

Xanthomatous Biliary Cirrhosis with Flat Xanthomas of the Eyelids. Presented by Dr. Stephen Rothman and (by invitation) Dr. H. Krysa.  L. K., a white woman aged 46, noticed yellow spots about her eyes ten years ago. These spots appeared first below the eyes and a few years later on the upper eyelids. Six years ago several of these lesions were excised surgically, but more have since appeared and have grown and become confluent.At present there are two sharply circumscribed, semicircular, slightly elevated, flat, yellow soft growths on each lower eyelid, with a sprinkle of five or six smaller lesions of similar character on each upper eyelid.The patient gives a history of attacks of disease of the gallbladder intermittently for twenty years, with removal of gallstones in 1927 and subsequent relief from pain in the right upper quadrant of the abdomen for three years. After this, she suffered occasional

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