Abstract
An 86-year-old woman had yellow plaques, papules and comedones on the median canthi. Histologic examination revealed that the xanthoma cells contacted with the epidermal cyst in the right upper eyelid. On the left eyelid, there were senile comedones with a basophilic degeneration of the collagenous fibers. The periphery of comedones showed inflammatory infiltrates of lymphocytes, histiocytes, giant cells and foam cell-like cells. This case and data in the literature suggest that some type of xanthelasma is a kind of dystrophic xanthomata.
