May 1998

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History: 55 yo white male presented to for evaluation of lesions present on the face for 4-5 years. They are asymptomatic, slowly growing, and increasing in number. A similar lesion was noted on his abdomen. He was hospitalized for vomitting and evaluation for a gastric obstruction. He has a significant history of sunburn, including blistering sunburns.

Physical Examination: Six yellowish red keratotic crusted papules on forehead and lateral abdominal wall ranging in size from 5-10mm. Numerous 2-3 mm yellowish papules with central umbilication scattered over nose, cheeks, and forehead.

PMH: Colon Cancer s/p subtotal colectomy 1990, HTN, Hyperlipidemia, Type II Diabetes,Gout.

Meds: Atenolol, Simvastatin, Lisinopril, Salsalate, Indocin, Allopurinol, Colchicine,

FH: father-bladder cancer, mother with unknown cancer, two sisters died with brain tumors;

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