Numerous large nodules on scalp

Abstract

The patient told us that his father had "cysts" on his body, too. This familial connection provided a clue to the diagnosis.A 31-year-old Hispanic man presented for evaluation of numerous disfiguring growths on his scalp. They first appeared when he was 19 years old. A review of his family history revealed that his father had 2 "cysts" on his body.The patient had 10 nodules on his scalp and upper back (FIGURES 1A AND 1B). The ones on his scalp lacked puncta and appeared in a "turban tumor" configuration. The lesions were pink, smooth, and semisoft, and ranged in size from 1 to 6 cm.Six years earlier, the patient had been