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Xanthelasma Palpebrarum Treatment | By Dr. Uttam Kumar Lenka MBBS, MD (Consultant Dermatologist) #druttamkumarlenka #treatment #Dermatologist #Consultant About Me Dr. Uttam Kumar Lenka MBBS(Cal), MD (Dermatology From School of Tropical Medicine, Kolkata) Associate professor BC ROY Medical College, Haldia Consultant Dermatologist Regd.No.: 73567 (WB) Contact Us. ☎️ Call- 8910252642 / 7890797233 ✉️ Mail- [email protected] Instagram- https://www.instagram.com/druttamlenk... 🌍Website - www.druttamskinandhair.com Clinic Address- Swapnanir Apartment, 57(Old), 75/5 (New) Harakall Colony, Dum Dum Road, Kolkata - 700074 ______________________ Definition: Xanthelasma palpebrarum refers to soft, yellowish, cholesterol-rich plaques occurring commonly on the medial aspects of the eyelids. •More common in middle-aged and older adults. Clinical features? Bilaterally symmetrical Yellowish soft plaque. Asymptomatic But cosmetically disfiguring. Photo Etiology / Causes: • Familial hypercholesterolemia. • Hypertriglyceridemia. • Secondary dyslipidemia (e.g., hypothyroidism, diabetes mellitus, biliary cirrhosis). 2. Idiopathic (normal lipid levels in up to 50% of cases). Diagnosis: Clinical diagnosis (history and physical examination). Tests? 1) Lipid profile to assess for underlying dyslipidemia. 2) Thyroid profile 3) FBS 4)LFT Treatment: 1. Lifestyle Modification: • Lipid-lowering diet. • Exercise. 2. Medical Treatment: • Systemic lipid-lowering agents (statins, fibrates) if dyslipidemia is present. • Topical agents (e.g., trichloroacetic acid peel, less commonly used). 3. Surgical & Procedural Treatments: • Surgical excision (risk of scarring). • Laser therapy (CO₂ laser) • Electrodesiccation. 4)Surgical removal. Prognosis: • Benign lesion. • High recurrence rate (especially if underlying lipid disorder persists). • Presence of xanthelasma may indicate increased cardiovascular risk, especially if associated with hyperlipidemia. This is not contagious and non cancerous.