Case Presentation
A 60-year-old woman, with a personal history of a uterine fibroma, was seen for evaluation of multiple flesh-colored, erythematous papules and nodules localized on latero-cervical regions. Dermoscopic examination of all lesions revealed multiple shiny and whitish areas distributed homogeneously within a fine network in a single nodule (Figure 1, A and B). The histological investigation confirmed a pilar leiomyoma.
Figure 1.
A. Multiple flesh-colored, erythematous papules and nodules localized on latero-cervical regions. B. Multiples shiny whitish areas are distributed homogeneously over all lesions within a fine network.
Teaching point
The dermoscopic features of pilar leiomyoma tumor are not well defined, because of its rarity. It is similar to dermatofibroma with central hypopigmented area and peripheral network [1]. In our case the lesions presented widespread bright white areas, with a more regular shape respect to the “white like-cloud areas” reported by Diluvio et al [2].
Footnotes
Competing interests: None.
Authorship: All authors have contributed significantly to this publication.
Funding: None.
References
- 1.Paschoal FM, Rezze GG. Dermoscopic findings in a patient with multiple piloleiomyomas. Dermatol Pract Concept. 2012;2(4):204a06. doi: 10.5826/dpc.0204a06. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2.Diluvio L, Torti C, Terrinoni A, et al. Dermoscopy as an adjuvant tool for detecting skin leiomyomas in patient with uterine fibroids and cerebral cavernomas. BMC Dermatol. 2014;14:7. doi: 10.1186/1471-5945-14-7. [DOI] [PMC free article] [PubMed] [Google Scholar]