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.
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 ] .
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