10.5826/dpc.1203a127
text/xml
2160-9381
1873
en
Fatima Zahra  Mernissi
https://creativecommons.org/licenses/by-nc/4.0
Dermatology Practical & Conceptual
Pilar leiomyomas: New dermoscopic pattern
Text.Serial.Journal
https://dpcj.org/index.php/dpc
Image Letter
2022-07-28
2021-07-07
2022-07-28
2022-09-15
e2022127
Dermatol Pract Concept
Fatima Zahra  Mernissi
2022/07/28
10.5826/dpc.1203a127
e2022127
Dermatology derpartment, Hassan II University Hospital Fes Morroco
2160-9381
en
e2022127
and cerebral cavernomas. BMC Dermatol. 2014; 16;14:7. DOI: 10.1186/1471-5945-14-7. PMID: 24739762. PMCID:PMC4005830.
Pilar leiomyomas: New dermoscopic pattern
https://dpcj.org/index.php/dpc/article/download/1873/1689
                 Pilar Leiomyomas. Dermoscopy Pattern
                            of a Rare Entity
                                       Meryem Soughi1, FatimaZahra Mernissi1


1 Dermatology derpartment, Hassan II University Hospital Fes Morroco



Citation: Soughi M. Pilar leiomyomas. Dermoscopy pattern of a rare entity. Dermatol Pract Concept. 2022;12(3):e2022127.
DOI: https://doi.org/10.5826/dpc.1203a127
Accepted: October 22, 2021; Published: July 2022
Copyright: ©2022 Soughi. This is an open-access article distributed under the terms of the Creative Commons Attribution-NonCommercial
License (BY-NC-4.0), https://creativecommons.org/licenses/by-nc/4.0/, which permits unrestricted noncommercial use, distribution, and
reproduction in any medium, provided the original authors and source are credited.
Funding: None.
Competing interests: None.
Authorship: All authors have contributed significantly to this publication.
Corresponding author: Dr. Meryem Soughi, Dermatology Department, Taounat peripheral Hospital. Address: Ouad Oum Rabie 13,
Narjis C; Fez 30070, Morroco Mail: msoughi@gmail.com Phone: 00212611936739




Case Presentation
A 60-year-old woman, with a personal history of a uter-
ine fibroma, was seen for evaluation of multiple flesh-col-
ored, ­
      erythematous papules and nodules localized on
latero-­cervical regions. Dermoscopic examination of all le-
sions revealed multiple shiny and whitish areas distributed
­homogeneously within a fine network in a single nodule
(Figure1, A and B). The histological investigation confirmed
a pilar leiomyoma.


Teaching point
The dermoscopic features of pilar leiomyoma tumor are not
well defined, because of its rarity. It is similar to dermatofi-
broma with central hypopigmented area and peripheral net-
work [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].
                                                                         Figure 1. A. Multiple flesh-colored, erythematous papules and nod-
                                                                         ules localized on latero-cervical regions. B. Multiples shiny whitish
                                                                         areas are distributed homogeneously over all lesions within a fine
                                                                         network.




Image Letter | Dermatol Pract Concept. 2022;12(3):e2022127                                                                                  1
References                                                    2. Diluvio L, Torti C, Terrinoni A, et al. Dermoscopy as an adjuvant
                                                                 tool for detecting skin leiomyomas in patient with uterine fi-
1. Paschoal FM, Rezze GG. Dermoscopic findings in a patient      broids and cerebral cavernomas. BMC Dermatol. 2014; 16;14:7.
   with multiple piloleiomyomas. Dermatol Pract ­ Concept.       DOI: 10.1186/1471-5945-14-7. PMID: 24739762. PMCID:
   2012;2(4):204a06. DOI:    10.5826/dpc.0204a06. PMID:          PMC4005830.
   23785620. PMCID: PMC3663367.




2                                                                   Image Letter | Dermatol Pract Concept. 2022;12(3):e2022127
