Necrobiotic xanthogranuloma: A case report of successful treatment with intravenous immunoglobulins

Abstract Necrobiotic xanthogranuloma (NXG) is a rare non‐Langerhans cell histiocytosis associated with paraproteinemia. Skin lesions of NXG are difficult to treat and various therapies have been evaluated with inconsistent results. A therapeutic standard has not been established. We report on a pati...

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Main Authors: Julia K. Winkler (Author), Holger A. Haenssle (Author), Jochen Hoffmann (Author), Ferdinand Toberer (Author), Alexander H. Enk (Author)
Format: Book
Published: Wiley, 2024-09-01T00:00:00Z.
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100 1 0 |a Julia K. Winkler  |e author 
700 1 0 |a Holger A. Haenssle  |e author 
700 1 0 |a Jochen Hoffmann  |e author 
700 1 0 |a Ferdinand Toberer  |e author 
700 1 0 |a Alexander H. Enk  |e author 
245 0 0 |a Necrobiotic xanthogranuloma: A case report of successful treatment with intravenous immunoglobulins 
260 |b Wiley,   |c 2024-09-01T00:00:00Z. 
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500 |a 10.1002/jvc2.411 
520 |a Abstract Necrobiotic xanthogranuloma (NXG) is a rare non‐Langerhans cell histiocytosis associated with paraproteinemia. Skin lesions of NXG are difficult to treat and various therapies have been evaluated with inconsistent results. A therapeutic standard has not been established. We report on a patient severely affected by mutilating skin and ocular lesions as well as lung infiltrates of necrobiotic xanthogranuloma. After failure of several previous therapies including dapsone and adalimumab, lesions significantly improved during therapy with intravenous immunoglobulins (IVIg). IVIg are an effective treatment option to evaluate in NXG. 
546 |a EN 
690 |a granulomas 
690 |a histiocytes 
690 |a intravenous immunoglobulin therapy 
690 |a monoclonal gammopathy 
690 |a necrobiotic xanthogranuloma 
690 |a Dermatology 
690 |a RL1-803 
690 |a Diseases of the genitourinary system. Urology 
690 |a RC870-923 
655 7 |a article  |2 local 
786 0 |n JEADV Clinical Practice, Vol 3, Iss 4, Pp 1248-1252 (2024) 
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