Facial osteoma.

Osteoma cutis is an oddity--small blue spots appearing de novo, unconnected to any other disease or syndrome. To briefly quote: "The appearance of a cell or tissue where it is normally absent excites curiosity and stimulates speculation as to its origin. Heterotopic bone deposition in the skin is such a phenomenon. Extrinsic bone formation is either neoplastic or metaplastic. This presentation represents neoplasia. The term osteoma is restricted to lesions with primary bone formation."25 I would welcome suggestions on therapy other than chelation, which is patently inappropriate, and strip mining, which has already been tediously tired.