The patient, a housewife, aged 44, presented a persistent acne-form eruption of ten years' duration. Shortly before the onset of inflammatory lesions, she had had numerous blackheads which have since become less troublesome. For years the eruption consisted of small papules and pustules. Two or three years previous to admission, she had first noticed small, hard, white nodules in the skin—first on the posterior portions of the cheeks; later over the forehead. She was confident that they varied in size from day to day and at times disappeared. The papular and pustular lesions continued to develop. She was given a series of ten x-ray treatments, which was followed by temporary relief. About two years ago, she developed a series of furuncles over the face and body which persisted in spite of treatment by x-ray, stock vaccine and restricted diet. A culture from the boils was reported to
HOPKINS JG. MULTIPLE MILIARY OSTEOMAS OF THE SKINREPORT OF A CASE. Arch Derm Syphilol. 1928;18(5):706–715. doi:10.1001/archderm.1928.02380170062005
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