Nodular cephalic form of xanthoma disseminatum.

Four monthly cycles of cladribine infusion (0.14 mg/kg for five days) showed 50-60 per cent improvement in her periorbital lesions and 80-90 per cent improvement in her neck lesions [Figure 1]E and [Figure 1]F. A 48 yr old female† presented to the department of Dermatology and Venereology, All India Institute of Medical Sciences, New Delhi, India, in March 2019, with yellowish papules and nodules over the periorbital areas for two years [Figure 1]A. Skin biopsy showed diffuse infiltrate of histiocytes, foamy histiocytes and lymphocytes with Touton giant cells [Figure 1]C and [Figure 1]D. [Extracted from the article]