We, report a case of necrobiotic xanthogranuloma in a 51 year-old white mal
e patient presenting with a 6-year history of multiple indurated violaceous
nodules and plaques involving the eyelids, trunk and extremities. He had a
n associated paraproteinemia (Ig G lambda), elevated sedimentation rate, cr
yoglobulinemia and hypocomplementemia. No extracutaneous involvement was de
tected. He was successfully treated with chlorambucil (2 mg/d for 7 months)
, leading to disappearance of all skin lesions.