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Plaques on the Face of a 26-Year-Old Woman With Usher Syndrome

Curt P. Samlaska, MD
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Michael E. Ming, MD
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Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.

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Arch Dermatol. 2001;137(2):219-224. doi:
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REPORT OF A CASE

A 44-year-old man presented with a lifelong history of an enlarged toe, requiring him to cut out portions of his shoes to obtain a comfortable fit. On physical examination, he had a hypertrophic right fourth toe (Figure 1) and soft tissue proliferation extending approximately 1 cm onto the dorsal aspect of the foot. There was a 5-cm cerebriform mass involving the plantar surface of the fourth and fifth toes (Figure 2). A velvety plaque was localized to the dorsal aspect of the afflicted toe only. An x-ray film showed exostoses involving the fourth metatarsal and phalangeal bones (Figure 3). A deep punch biopsy specimen was obtained (Figure 4).

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