Unique presentation of normolipaemic cutaneous xanthoma in a cat

A normolipaemic 7-year-old female spayed Domestic Shorthair was initially presented with a history of pruritus for several years and diagnosed with concurrent atopic dermatitis, flea bite hypersensitivity and adverse food reaction. The hypersensitivities were controlled with cyclosporin, allergen-specific immunotherapy, topical flea control and a restricted diet. Five months after initial presentation, the cat developed a non-healing nodular ulcerated cutaneous lesion in the left axilla and also developed immune-mediated haemolytic anaemic (IMHA). The IMHA was stabilised, but the axillary lesion persisted and progressed to a diffuse, firm, yellowed subcutaneous swelling over the ventral body approximately 20 months later. Histopathology was consistent with cutaneous xanthoma. The cat was normolipaemic and being fed a home-prepared diet of lean kangaroo meat and pumpkin to manage pruritus associated with adverse food reactions. No underlying malignancy was detected on routine screening tests.

A diffuse, planar form of cutaneous xanthoma occurring without associated lipaemia has not been previously reported in cats.