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  Vol. 143 No. 1, January 2007 TABLE OF CONTENTS
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Dermal Plaques of the Face and Scalp—Diagnosis

Arch Dermatol. 2007;143(1):109-114.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Diagnosis: Platelike osteoma cutis.

MICROSCOPIC AND LABORATORY FINDINGS

Histologic evaluation showed lamellar bone with a fatty marrow that extended from the midreticular dermis into the subcutaneous fat. Haversian canals and numerous osteoblasts were present. Polarization showed birefringence consistent with lamellar ossification. A general physical examination of the patient revealed no abnormalities. The results of laboratory investigations, including circulating levels of calcium, phosphorus, and parathyroid hormone; a complete blood cell count; urinalysis; and serum chemistry studies, were normal.

DISCUSSION

Osteoma cutis is an uncommon occurrence. Cutaneous ossification is classified as either primary or secondary.1 Secondary cutaneous bone formation represents about 85% of dermal mineralization; however, mature bone formation is not observed.2-3 Primary osteoma cutis, which represents true bone amartothic formation and typically demonstrates mature lamellar and/or osteonic bone, is infrequently encountered; only 10 primary osteomas were identified in a review of 20 000 consecutive skin biopsy specimens.2, 4-5 Circulating levels of calcium and phosphorus are normal, and the cutaneous bone arises idiopathically . . . [Full Text of this Article]


RELATED ARTICLE

Dermal Plaques of the Face and Scalp—Quiz Case
Philip R. Cohen, Jaime A. Tschen, Keith E. Schulze, Paul T. Martinelli, and Bruce R. Nelson
Arch Dermatol. 2007;143(1):109-114.
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