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An unusual presentation of Buschke-Ollendorff syndrome:

Blum, Andrew E. ; Hatter, Alyn ; Honda, Kord.
Journal of the American Academy of Dermatology.  65 (2011)  1 - p. e25-e26 , 2011
Link: https://doi.org/10.1016/j.jaad.2010.12.020