PMC6340231_01
(a) Localized xanthoma on the right arm and right trunk limited by transverse and vertical watershed with minimal spillover and lymphedema of the right upper limb. (b) Localized xanthoma of the right upper back limited by vertical and horizontal watershed with some spilling over
IJD-64-65-g001.jpg
PMC6340231_01_IJD-64-65-g001.jpg
F1
There was spilling over of these lesions beyond the midline to the left side both on the front and on the back of the trunk [Figures 1a and b].
Dense monomorphous granulomatous infiltrate of foamy histiocytes with uniform and sparse scattering of lymphocytes involving the reticular dermis (H and E, x40)
IJD-64-65-g002.jpg
PMC6340231_01_IJD-64-65-g002.jpg
F2
Biopsy from the yellow plaques revealed nodular dense monomorphous granulomatous infiltrate of foamy histiocytes with uniform and sparse scattering of lymphocytes involving the reticular dermis and sparing appendages [Figure 2].