![Click here to see the picture 38-A1](figuras/38-0001p.jpg) Fig.38-A1 Lepromatous Lepra
A 14-years old boy presented warty and nodular skin lesions on both sides of his nose. Furthermore, an abscess in the nasal cavity and a skin thickening above the navel were noted with a diminution of the sensibility.
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![Click here to see the picture 38-B1](figuras/38-0003p.jpg) Fig.38-B1 Sebaceous adenoma
A 6-year old boy from the town of Barinas / Venezuela showed several slightly elevated spots on the skin of his face, particularly on his nose, which had developed a long time ago. They were neither painful nor itching.
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![Click here to see the picture 38-A2](figuras/38-0002p.jpg) Fig.38-A2 Lepromatous Lepra
A biopsy taken from the skin lesions of the nose showed a suspicious granulation tissue. With the Ziehl-Neelsen stain some red coloured lepra bacilli were detected.
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![Click here to see the picture 38-B2](figuras/38-0004p.jpg) Fig.38-B2 Sebaceous adenoma
The biopsy revealed a fibrosis of the corium with the presence of partly atrophic sebaceous glands. The boy died 4 years later. The autopsy confirmed the clinical diagnosis of a tuberous brain sclerosis.
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