Xanthelasma are yellow patches on the skin that
occur most commonly on the upper and lower
eyelids. They are usually located on the medial
side of the eyelids. Xanthelasma are more common
in women than in men.
The yellow plaques occur slowly and are often
symmetrical. In general they are soft, but
semisolid or even calcareous lesions exist.
Xanthelasma usually start as small lesions but
have a tendency to spread and coalesce.
is the cause of xanthelasma?
to one half of persons with xanthelasma have
elevated levels of lipids in the blood. If
cholesterol levels are too high diet or
cholesterol lowering drugs may be advised by your
doctor. Although xanthelama are completely benign
lesions of the skin may be a predictor of a higher
risk for myocardial infarction, atherosclerosis
and other heart diseases.
Xanthelasma can be cosmetically unappealing and
many patients seek medical treatment. If a person
has a lipid abnormality exercise and dietary
changes may be recommended. Some patients require
oral medication in order to lower the lipid levels
in the blood.
In many cases, especially when the plaques are
very flat, camouflage is the best option. Other
options include surgical excision, laser
treatment, local application of a special acid
solution and electrodesiccation (electric needle
treatment). The second picture shows a xanthelasma
lesion immediately after application of a
trichloroacetic acid solution.