Yesudian D, Krishnan S G, Jayaraman M, Janaki V R, Yesudian P
Department of Dermatology, Madras Medical College and Goverenment General Hospital, Madras, India, .
Indian J Dermatol Venereol Leprol. 1995 Sep-Oct;61(5):314-6.
A 21-year-old woman presented with complaints of skin lesions on her face, palms and soles. On examination, 8 to 10 well-defined, pigmented nodules with raised and pearly borders were seen on the face. Multiple pits were present on the palms and soles. Biopsy of both lesions revealed the presence of basal cell epitheliomas. The patient also gave history of removal of a keratocyst of mandible 10 years back. The case was diagnosed as Gorlin's syndrome. It is atypical due to the low number of basal cell epitheliomas, the occurrence of only a single odontogenic cyst and the absence of other features usually associated with this condition.
一名21岁女性因面部、手掌和足底出现皮肤病变前来就诊。检查发现,面部有8至10个边界清晰、色素沉着的结节,边界隆起呈珍珠样。手掌和足底有多个凹坑。两处病变的活检均显示存在基底细胞上皮瘤。患者还述及10年前曾切除下颌骨的一个角化囊肿。该病例被诊断为戈林综合征。由于基底细胞上皮瘤数量较少、仅出现单个牙源性囊肿且缺乏通常与该疾病相关的其他特征,故该病例为非典型病例。