Abstract

A 45-year old women presented with multiple small bony structures on the forehead exisiting for years. In her youth, she had sufferd from acne vulgaris. Histologically, miliary osteoma were confirmed. Osteoma cutis is characterized by the formation of compact bone in the skin. Primary osteoma cutis develop in healthy skin, whereas secondary osteoma cutis arise in previous cutaneous lesions. The association of secondary miliary osteoma cutis with a former acne vulgaris and the predominance of women is explained by estrogens as sexual hormones support osteogenesis. Excision of the lesions and subsequent chemical peeling are planned.

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