Letter

Necrobiotic xanthogranuloma of extremities in an elderly patient successfully treated with low-dose prednisolone

Yoshio Kawakami, Toshiyuki Yamamoto

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

We describe a 93-year-old Japanese woman who developed a painful yellowish plaque with reddish border on her left lower leg. Histological evaluation demonstrated hyaline necrobiosis and granulomatous lesions composed of histiocytes (some with foamy cytoplasm), multinucleated giant cells, and numerous cholesterol crystals. Serum electrophoresis displayed the presence of an M-peak with IgG λ paraproteinemia. There was progressive ulcer formation in the location of the biopsy on the left leg. Multiple tender red dermal and subcutaneous skin nodules developed on her extremities. Oral administration of prednisolone 20 mg daily (0.5 mg/kg) was started. After 4 weeks, she obtained resolution of the skin lesions.

Original languageEnglish
JournalDermatology Online Journal
Volume17
Issue number6
Publication statusPublished - Jun 1 2011
Externally publishedYes

Fingerprint

Necrobiotic Xanthogranuloma
Prednisolone
Extremities
Skin
Leg
Necrobiotic Disorders
Paraproteinemias
Hyalin
Histiocytes
Giant Cells
Ulcer
Oral Administration
Electrophoresis
Cytoplasm
Immunoglobulin G
Cholesterol
Biopsy
Serum

ASJC Scopus subject areas

  • Dermatology

Cite this

Letter : Necrobiotic xanthogranuloma of extremities in an elderly patient successfully treated with low-dose prednisolone. / Kawakami, Yoshio; Yamamoto, Toshiyuki.

In: Dermatology Online Journal, Vol. 17, No. 6, 01.06.2011.

Research output: Contribution to journalArticle

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