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Necrobiotic xanthogranuloma

Deba P Sarma, MD Omaha

M 69, multiple indurated plaques, upper arms, upper chest, face

Comment
Dermal bandlike pattern of necrobiotic granulomatous inflammation with atypical giant cells. Cholesterol clefts and plasma cells may bepresent. Associated with monoclonal gammopathy (70% cases) including 20% with plasma cell myeloma.

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