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May 1971


Author Affiliations

Department of Dermatology University of California School of Medicine San Francisco 94122

Arch Dermatol. 1971;103(5):564. doi:10.1001/archderm.1971.04000170098026

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To the Editor.—  A 29-year-old man was referred for evaluation of cutaneous and ophthalmologic lesions.He had first developed flesh-colored to pink, shiny, pinpoint to 8-mm lesions on the right side of his forehead, cheek, and neck at 20 years of age. Four such lesions were removed in 1964, and a diagnosis of basal cell epithelioma was made. New biopsies showed nodular basal cell epithelioma arising from surface epidermis. The striking features of the lesions are their unilaterality and their "nevoid" appearance. None has ulcerated in spite of lack of treatment.The ophthalmologic findings include cataract excision five years ago and in 1970 (cortical and anterior subcapsular); these were first noted when the patient was aged 19. Family history revealed that his mother and maternal grandmother had cataracts before aged 20 but no skin lesions. His 33year-old sister has neither cataracts nor skin lesions. His father and other grandparents had

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