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Albright's Disease. Presented by Dr. Conrad Stritzler.
An 11-year-old boy is presented with an area of pigmentation on the right side of the scalp and neck and on the right buttock since birth. In 1952 he sustained an injury of the right arm when he was picked up by both arms. X-ray at that time revealed a transverse fracture of the right humerus with associated cystic disease of the bone. The fracture healed in six weeks. The past history is otherwise irrelevant, and the family history is negative.
Examination reveals a deep brown patch of pigmentation that involves the right nuchal region, stops abruptly at the midline at the vertebral column, and extends into the scalp to the occiput. Several scattered pigmented areas of varying size are present throughout the scalp. An area similarly pigmented is noted on the right side of the sacral region, extending onto the right buttock,