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Birt-Hogg-Dube syndrome (BHDS) is an autosomal dominant disorder characterized by multiple fibrofolliculomas, trichodiscomas, and acrochordons. Some patients also exhibit multiple hidradenomas. Extracutaneous manifestations are rare and include renal cell carcinoma, colonic polyps, and recurrent spontaneous pneumothorax.

Treatment for the disfiguring skin lesions is limited. We describe a case of BHDS treated successfully with carbon dioxide and Er:YAG laser skin resurfacing.

Report of a Case

A 46-year-old man presented to the dermatology department with complaints of multiple, slow-growing lesions of cosmetic concern on the forehead, cheeks, and nose. The lesions appeared as ivory-colored, slightly firm, 1- to 3-mm papules scattered over the forehead, nose, and cheeks (Figure 1). They began developing at age 30, first on the nose and gradually spreading to the cheeks. At age 36, the patient underwent a biopsy and was informed that the tumors were benign. At age 45 the patient was diagnosed as having "rosacea" and treated with . . . [Full Text of this Article]

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THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Multiple Facial Papules in an Adult--Diagnosis
Arch Dermatol 2003;139:215-220.
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