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April 1988

Sebaceous Adenoma in a Patient With Acquired Immunodeficiency Syndrome

Author Affiliations

Departments of Dermatology and Pathology Harvard Medical School Boston, MA 02215

Arch Dermatol. 1988;124(4):489-490. doi:10.1001/archderm.1988.01670040009005

To the Editor.—  Sebaceous adenomas are uncommon, benign tumors of sebaceous glands.1 They may be single or multiple, and are usually slow-growing, asymptomatic tumors that appear most commonly on the head, neck, and trunk as discrete, smooth, yellow or flesh-colored papules of less than 1 cm in diameter.2 Solitary or multiple sebaceous adenomas may be associated with visceral carcinomas in the Muir-Torre syndrome.1,2 We describe a patient with acquired immunodeficiency syndrome (AIDS) with an unusual presentation of a solitary sebaceous adenoma, without evidence of visceral neoplasia. This association has not been made previously.

Report of a Case.—  A 39-year-old homosexual man with AIDS, based on a two-year history of Kaposi's sarcoma without opportunistic infection, presented to the dermatology clinic with a three-month history of a rapidly growing nodule on his right nostril. On examination, there was a friable hemorrhagic nodule, 7 mm in diameter. The rest of

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