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Xanthogranulomas associated with hematologic malignancy in adulthood.

Brenda A Shoo1, Kanade Shinkai, Timothy H McCalmont

  • 1Department of Dermatology, University of California, San Francisco, California, USA. shoob@derm.ucsf.edu.

Journal of the American Academy of Dermatology
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PubMed
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Xanthogranulomatosis (XG) can occur in adults, often without hyperlipidemia, and shares similarities with childhood cases. Adult XG is frequently associated with hematologic disorders, including malignancies.

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Area of Science:

  • Dermatology
  • Hematology
  • Oncology

Background:

  • Xanthogranulomatosis (XG) is characterized by multiple simultaneous xanthogranulomas.
  • While initially described in pediatric populations, adult cases of XG are increasingly reported.
  • Adult XG typically presents without hyperlipidemia, distinguishing it from some other xanthoma types.

Observation:

  • This report details a 45-year-old male diagnosed with XG and B-cell acute lymphoblastic leukemia.
  • The case highlights the co-occurrence of XG and hematologic disorders in adults.
  • A literature review was conducted to explore the association between adult XG and hematologic conditions.

Findings:

  • Xanthogranulomas in both children and adults exhibit significant clinical and histopathological similarities.
  • A notable association exists between xanthogranulomas and hematologic malignancies in adult patients.
  • The simultaneous occurrence of XG and hematologic disorders is a recurring theme in adult cases.

Implications:

  • The findings suggest a potential link between XG and underlying hematologic malignancies in adults.
  • Further research is warranted to elucidate the pathogenetic mechanisms connecting XG and hematologic disorders.
  • Clinicians should consider evaluating for hematologic conditions in adult patients presenting with xanthogranulomas.