Article: Volume 43 Number 3 Page 294 - April 2016

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  Dent Update 2016; 43: 294-295

Clinical Challenges Q&A:  Clinical Challenges Q&A 19. Multiple Nodules

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Abstract: A 67-year-old man presented with multiple asymptomatic nodules on his face, scalp, neck and upper trunk which began to appear at the age of 20 and increased in size and number. The patient suffered from hypertension, hearing problems, chronic bronchitis and glaucoma. His daughter has similar but less obvious skin lesions. He was a chronic smoker (>15 cigarettes/day) and alcohol drinker (>4 glasses of wine/meal).

Author notes: Crispian Scully, CBE, MD, PhD, MDS, MRCS, BSc, FDS RCS, FDS RCPS, FFD RCSI, FDS RCSE, FRCPath, FMedSci, FHEA, FUCL, DSc, DChD, DMed(HC), Dr HC, Co-Director of WHO Collaborating Centre for Oral Health-General Health: and Emeritus Professor, University College London, UK and Dimitrios Malamos, DDS, MSc, PhD, DipOM, Oral Medicine Clinic, National Organization for the Provision of Health Services (IKA), Athens, Greece.