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What causes bumps on nose/face??

Discussion in 'Step I' started by grw0o, Apr 25, 2007.

  1. grw0o

    grw0o Senior Member 10+ Year Member

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    Sep 23, 2003
    I remember seeing a question with a side shot picture of a 17yo male with bumps on his nose/face... Gah I wish I can remember where I saw that picture.... It was either from NBME I/UsmleRx/UsmleWorld.. Anyways - if anyone knows what I'm talking about (long shot) let me know cause it's driving me crazy..
     
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  3. anesthesiarocks

    anesthesiarocks 2+ Year Member

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    Feb 12, 2007
    molluscum contagiosum......it's a poxvirus and is seen in AIDS patients.
     
  4. Long Dong

    Long Dong My middle name is Duc. 10+ Year Member

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    I remember one on the nbme from 2 years ago, i think it was TS w/sebacous adenomas (to lazy to check spelling) and it asked about something related to the Pt. I said MR or need a CT, not to sure was awhile ago.
     
  5. grw0o

    grw0o Senior Member 10+ Year Member

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    Sep 23, 2003
    Ohh yeah and the bumps seemed to be evenly distributed and weren't red or inflammed so it wouldn't be molluscum contagiosum.

    Yeah Long Dong, it did ask for some kind of relationship if I recall.. Sebacous adenomas? I swear...
     
  6. anesthesiarocks

    anesthesiarocks 2+ Year Member

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    molluscum contagiosum doesn't have to be red or inflamed looking. Can be flesh colored or red with white middle.
     
  7. Doc 2b

    Doc 2b 5+ Year Member

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    Molluscum can be red or fleshy. Key is pedunculated center with inclusion bodies. I think your talking about TS though. I remember a pic, if it's the same one, with a kid with TS that had this grin that made me want to punch a baby. Don't know if it's the same one but I'll never forget it.
     
  8. exmike

    exmike NOR * CAL 10+ Year Member

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    sounds like tuberous sclerosis like long said
    neurofibromatosis another possibility
     
  9. basupran

    basupran ortho, study, cars, lift 10+ Year Member

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    Any facial abnormalities? Approximate density?
    Molluscum
    [​IMG]
    Tuber
    [​IMG]
    NF
    [​IMG]
     
  10. grw0o

    grw0o Senior Member 10+ Year Member

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    Yeah i found a picture exactly like it on google - tuberous sclerosis with seb. adenoma. Now I remember it was on the NBME I form... Goljan doesn't have it in his book - no wonder I blanked on it.
     
  11. grw0o

    grw0o Senior Member 10+ Year Member

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    Sep 23, 2003
  12. DOCTORSAIB

    DOCTORSAIB Ophtho or bust! 10+ Year Member

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    I remember that question. Those are sebaceous adenomas (a better term is angiofibromas) and the Dx is Tuberous Sclerosis.

    CT/MRI of the head is indicated as they get hamartomas of the CNS, especially in the retina, cortex and periventricular region.

    NOTE: Lets put "NBME question" in the title of such threads. It's not fair to those students who haven't taken the NBME practice exams to see such questions on SDN inadvertently. It decreases the predictive power of the tests for them! :)
     
  13. Taus

    Taus . Moderator 10+ Year Member

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    Philly
    As long as that one isn't on NBME 3 I won't have to bitch slap anyone...
     

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