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A Case for Diagnosis (Multiple Fibromas? Osseous Cysts? Adenoma Sebaceum?). Presented by Dr.Cyril K. Valade, Detroit.
Mrs. P. C., aged 25, has three children, the oldest of whom, aged 9 years, is just beginning to talk. She has two sisters, one of whom has a condition of the face and toes similar to that which she herself presents, while the other has involvement of the toes only.
At the age of 12 the patient noticed growths about the toe-nails, and later other manifestations appeared on the face and elsewhere. The evolution of the condition has been slow, with no subjective symptoms, excepting pain in the right great toe on pressure.
On examination, grouped about the nose and on the forehead, cheeks and chin, there was a moderate number of firm, pale, pinkish elevations which varied in size from that of a pinhead to that of a small pea. There