July 1997

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A. B. C.

History: The patient is a 72 yo female who developed numerous asymptomatic facial and scalp tumors beginning at 16 years of age. She was initially diagnosed as having acne by her family physician.

Physical Exam: Multiple confluent disfiguring skin-colored and erythematous papules and nodules were present on the face (Fig A), ears and scalp (Figs. B & C). Several isolated nodules were present on the trunk and extremeties. Multiple skin biopsies were obtained.

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