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Images in Clinical Practice
ARTICLE IN PRESS
doi:
10.25259/IJDVL_806_2024

Xanthoma disseminatum in a young man

Department of Dermatology, Venereology, Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India
Department of Histopathology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.

Corresponding author: Dr. Dipankar De, Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India. dr_dipankar_de@yahoo.in

Licence
This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-Share Alike 4.0 License, which allows others to remix, transform, and build upon the work non-commercially, as long as the author is credited and the new creations are licensed under the identical terms.

How to cite this article: Dev A, Thind A, Kaushal P, De D, Vaiphei K. Xanthoma disseminatum in a young man. Indian J Dermatol Venereol Leprol. doi: 10.25259/IJDVL_806_2024

A 37-year-old man presented with asymptomatic, yellowish, reddish-brown papules that were coalescing to form plaques on the face, neck, trunk and, flexures [Figures 1a and 1b]. In addition, he had polydipsia and polyuria, and had recently developed hoarseness of voice and difficulty in breathing.

Multiple, discrete, yellowish to brownish papules coalescing to form plaques on the face.
Figure 1a:
Multiple, discrete, yellowish to brownish papules coalescing to form plaques on the face.
Numerous, discrete yellowish to reddish brown papules coalescing to form plaque on the right axilla.
Figure 1b:
Numerous, discrete yellowish to reddish brown papules coalescing to form plaque on the right axilla.

Histopathological examination of the cutaneous lesions on the neck revealed dense lymphohistiocytic collections in the dermis as well as Touton-type giant cells. Investigations revealed a reduced serum vasopressin level and reduced urine osmolality. An absent posterior pituitary bright spot was observed on magnetic resonance imaging (MRI). Based on these findings, a diagnosis of xanthoma disseminatum with diabetes insipidus was made.1,2

Declaration patient consent

The authors certify that they have obtained all appropriate patient consent.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

Use of artificial intelligence (AI)-assisted technology for manuscript preparation

The authors confirm that there was no use of AI-assisted technology for assisting in the writing or editing of the manuscript and no images were manipulated using AI.

References

  1. , , . Xanthoma disseminatum. Lancet. 2018;391:251.
    [CrossRef] [PubMed] [Google Scholar]
  2. , , , , , , et al. Xanthoma disseminatum in a young patient with diabetes insipidus. Pediatric Dermatol. 2017;34:e144-5.
    [CrossRef] [PubMed] [Google Scholar]

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