PMC3339130_01
Yellowish brown plaques and nodules around the eye
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F1
On examination, there were soft to firm, non tender, yellowish brown nodules and plaques present over bilateral infraorbital areas [Figure 1].
Epitheloid histiocytic granulomas in the dermis with Touton and foreign body giant cells. The inset picture shows foci of the degenerated collagen with Touton giant cells
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F2
Focal lymphoid aggregates and degenerated collagen were also seen [Figures 2a and b].
Entrapped hair follicle with lymphoid aggregates (H and E, x100)
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F3
A full thickness flap over the cheek was released and advanced [Figure 3].
Intra-operative photograph showing the released full thickness flap over the cheek
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F4
We did not observe any recurrence [Figure 4].