Adnexal necrobiotic xanthogranuloma presenting as a "kissing" eyelid lesion.
M A Suadi, S E Detiger, D Scheers et al.
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Case in brief
A 50-year-old man presented with a rare form of necrobiotic xanthogranuloma, characterized by a 'kissing' lesion on the upper and lower eyelids. Previous debulking surgeries had failed, and a biopsy confirmed the diagnosis. Despite multiple corticosteroid injections, the lesions remained stable for 2.5 years post-treatment, highlighting the chronic nature of this condition.
What made this case unusual
The case is notable for the atypical presentation of necrobiotic xanthogranuloma as a 'kissing' eyelid lesion, which is uncommon in the literature.
Diagnostic / clinical pearl
Histopathologic confirmation of necrobiotic xanthogranuloma is crucial to prevent unnecessary surgical interventions and to guide appropriate systemic evaluations.
Why it matters
This case underscores the importance of recognizing atypical presentations of necrobiotic xanthogranuloma, which can mimic other lesions and may require careful management.