To the Editor.—
The case report by Lim et al in the December 1981 Archives (17:797-799), in the article entitled "Dysplastic Cutaneous Osteomatosis: A Unique Case of True Osteoma," described an infant with widespread calcified and ossified subcutaneous plaques. While this case is masterfully presented and surely unusual, it is not as unheard of as the bibliography suggests.Worret and Burgdorf1 described an infant with what we called "congenital plaquelike osteoma cutis" similar to the patient of Lim et al, but with his disease limited to one leg. We also cited 12 similar cases, including four mentioned by Lim et al. Worret et al2 later described preliminary cell culture results from the same patient's osteoma.I respectfully suggest that this fascinating case is another, more severe, example of the peculiar condition we called congenital plaquelike osteoma cutis.
Burgdorf WHC. Calcified and Ossified Subcutaneous Plaques. Arch Dermatol. 1982;118(11):879. doi:10.1001/archderm.1982.01650230007011