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Adenoma Sebaceum. Presented by Dr. Samuel Feldman.
J. M., an orphan boy aged 11 years, was admitted to the Morrisania Hospital because of fever and vomiting which had been present for four days and repeated attacks of convulsions. The diagnosis on admission was hydrocephalus, subarachnoid hemorrhages, convulsions and tuberous sclerosis.
The boy was delivered with the aid of forceps; his head has always been large; he did not learn to walk till he was 4 years old. He never talked; his mentality is low, and he has had four or five attacks of convulsions every year.
The skin of both cheeks and that of the chin and forehead are studded with numerous reddish, waxy and transparent nodules varying in size from that of a pinhead to that of a millet seed. On the left side of the trunk there are a number of yellowish flat elevated growths such as
Silver H, Kelley EF. BRONX DERMATOLOGICAL SOCIETY. Arch Derm Syphilol. 1937;35(2):364–370. doi:10.1001/archderm.1937.01470200164026
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