To the Editor.—
Sebaceous adenomas are uncommon, benign tumors of sebaceous glands.1 They may be single or multiple, and are usually slow-growing, asymptomatic tumors that appear most commonly on the head, neck, and trunk as discrete, smooth, yellow or flesh-colored papules of less than 1 cm in diameter.2 Solitary or multiple sebaceous adenomas may be associated with visceral carcinomas in the Muir-Torre syndrome.1,2 We describe a patient with acquired immunodeficiency syndrome (AIDS) with an unusual presentation of a solitary sebaceous adenoma, without evidence of visceral neoplasia. This association has not been made previously.
Report of a Case.—
A 39-year-old homosexual man with AIDS, based on a two-year history of Kaposi's sarcoma without opportunistic infection, presented to the dermatology clinic with a three-month history of a rapidly growing nodule on his right nostril. On examination, there was a friable hemorrhagic nodule, 7 mm in diameter. The rest of