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November 1991

Multiple Papular and Nodular Lesions in a Tall Woman

Author Affiliations

Universitàri degli Studi di Milano, Ospedali Riuniti di Bergamo (Italy)

Arch Dermatol. 1991;127(11):1719-1720. doi:10.1001/archderm.1991.01680100119018

REPORT OF A CASE  A 42-year-old woman presented for evaluation of multiple papular and nodular lesions on her face and trunk. These lesions had first appeared 10 years previously, and their number had gradually increased. Most of the lesions had been growing slowly for years. Moreover, spontaneous resolution of an occasional lesion had occurred. Some lesions were removed surgically on previous occasions. No history of similar manifestations in her family was found, and the patient's medical history was otherwise unremarkable.She was a well-developed, tall woman with a somewhat large head circumference due to frontal and biparietal bulging and mild hypertelorism (Fig 1). Skin lesions were predominantly flesh-colored or slightly erythematous papules scattered over the chest and abdomen; on the face were translucent nodules with telangiectatic vessels and white epidermal cysts (Fig 2). She also had vitiligo. Laboratory test results were undiagnostic. Radiographic examination showed calcification of the falx cerebri,

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