2003
DOI: 10.1046/j.1525-1470.2003.03010.x
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Verruciform Xanthoma in Association with Milroy Disease and Leaky Capillary Syndrome

Abstract: An 18-year-old Caucasian boy with Milroy disease involving the right leg presented with erythematous, smooth-topped, waxy papules on the dorsum of his right foot. A 12-year-old Caucasian girl with leaky capillary syndrome presented with hemorrhagic verrucous papules on the dorsum of the toes of both feet. Histopathologic analysis revealed changes consistent with xanthoma. Both patients were treated with leg compression, curettage, and electrodesiccation. Although similar papules have been described in the sett… Show more

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Cited by 16 publications
(12 citation statements)
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“…The key to clarify the disease pathophysiology of VX lies in the clarification of lipid source. The serum lipoprotein origin is supported by VX developed on a background of chronic local circulatory disturbance (Huguet et al , 1995; Kishimoto et al , 1998; Wu and Wagner, 2003). In our opinion, certain histologic differences can be appreciated from the figures in these cases and this theory does not satisfactorily explain why foam cells selectively target to the sub‐basal papillae.…”
Section: Discussionmentioning
confidence: 99%
“…The key to clarify the disease pathophysiology of VX lies in the clarification of lipid source. The serum lipoprotein origin is supported by VX developed on a background of chronic local circulatory disturbance (Huguet et al , 1995; Kishimoto et al , 1998; Wu and Wagner, 2003). In our opinion, certain histologic differences can be appreciated from the figures in these cases and this theory does not satisfactorily explain why foam cells selectively target to the sub‐basal papillae.…”
Section: Discussionmentioning
confidence: 99%
“…VXs manifest as exophytic, polypoid growths and display characteristic pathological features comprising verrucous hyperplasia of the epidermis and lipid‐laden (foamy/xanthomatous) cells within the dermal papillae. Although most VXs occur in otherwise healthy persons, five cases have been reported in the setting of immunosuppression (bone marrow transplantation, 2–4 HIV infection 5 and common variable immunodeficiency disease) 6 . We report here the first case of VX developing in the setting of solid organ transplantation.…”
mentioning
confidence: 90%
“…Pathogenetically speaking, lymphedema is initially characterized by edema and excess tissue protein, but it soon evolves into chronic inflammation and fibrosis and eventually hyperkeratosis, verrucous‐like skin, and elephantiasis. Xanthomas associated with lymphedema have been described in the dermatologic literature since the 1960s (2,3) in the form of isolated case reports (4–7). We believe that our patient developed verruciform xanthomas in the setting of a primary lymphedema.…”
Section: Discussionmentioning
confidence: 99%