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A. B. C.
History: The patient is a 67 yo female who developed firm, dermal and subcutaneous papules and nodules on her face during her second decade of life. The lesions have increased in number over time and are asymptomatic. Several on the scalp have ulcerated after trauma. Her mother, sister, brother, and a niece have similar lesions.
Physical Exam: Multiple firm skin colored and erythematous papulo-nodules present on the forehead, Figs A,B, and on the temporal area (Fig C) and neck.
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