Xanthelasmas are yellowish papules or plaques caused by the deposition of lipid on or around the eyelids. The lesions are relatively rare, with an incidence of 1.1% in women and 0.3% in men . Lesions typically appear between 40 and 60 years but may appear at younger ages as a sign of a familial dyslipoproteinemia. Approximately 50% of patients with xanthelasmas have abnormal cholesterol or triglyceride levels, and these lesions have been associated with hypothyroidism, cirrhosis, and nephrotic syndrome. Therefore, systemic work-up is indicated in these patients. Treatment of these lesions include observation, surgical excision, topical trichloroacetic acid (TCA), laser ablation, and liquid nitrogen cryotherapy . Regardless of the treatment modality, recurrence is common and is reported to be 40% after primary surgical excision .
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