Melanin, hemoglobin, and carotenoids are the dominant influences in the color of human skin.1 Yellowish discoloration of the eyelid skin is commonly a result of lipid-laden histiocytes in the dermis (xanthoma, xanthelasma), or cysts of the cutaneous adnexa. A distinct entity labeled “orange palpebral spots” has recently been described in the dermatologic literature.2 We have encountered 3 patients with a similar finding and suggest an expansion of the label to “yellow-orange palpebral spots” based on the coloration observed.
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