Xanthelasma

Xanthelasma
		SYMPTOMS	Usually asymptomatic, possible irritation
		SIGNS	Yellowish lipid plaques - usually near the upper, inner lid.
		WORK-UP	Thorough history and slit lamp examination \| Younger patients should be evaluated for hypercholesterolemia.
		TREATMENT	Observation \| Surgical excision
		FOLLOW-UP	Frequent follow-ups are usually not necessary unless significant increase
		ADDITIONAL LAB \| TESTS	Unknown, likely lipid and inflammatory causation
		ETIOLOGY	Unknown, likely lipid and inflammatory causation
		DIFFERENTIAL DX	Necrobiosis xanthogranuloma \| Syringoma
		NOTES	Benign \| Strong association with lipid imbalance, although many patients with xanthelasma are normolipidemic.