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Verruciform xanthoma. First case reported in a black person
Oral Surgery, Oral Medicine, and Oral Pathology
|May 1, 1978
Summary
This report details the 26th case of verruciform xanthoma, noting it is the largest recorded and the first in a Black individual. Findings align with prior descriptions of this rare skin condition.
Area of Science:
- Dermatology
- Oral Pathology
- Dermatopathology
Background:
- Verruciform xanthoma (VX) is a rare benign oral and cutaneous lesion.
- Previous reports describe its characteristic clinical and microscopic features.
Observation:
- The 26th reported case of verruciform xanthoma is presented.
- The lesion, measuring 1.5 by 4 cm, is the largest VX documented to date.
- This case represents the first report of VX in a Black individual.
Findings:
- Clinical presentation showed a shaggy, parakeratin-covered, verrucous surface.
- Microscopic examination revealed elongated rete pegs extending into connective tissue.
- Abundant large 'foam cells' (xanthoma cells) were observed within the connective tissue papillae.
Implications:
- This case expands the known demographic and size spectrum of verruciform xanthoma.
- Reinforces the diagnostic criteria for verruciform xanthoma in dermatopathology.
- Highlights the importance of considering diverse patient populations in the diagnosis of skin lesions.