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Published on: October 20, 2019
Multiple familial pilomatricomas: an unusual case
Virginia G Hubbard1, Sean J Whittaker
1Department of Dermatology, Bart's Hospital, London, UK. ginny@vhubbard.fsbusiness.co.uk
Abstract:
Although solitary pilomatricomas are relatively common, multiple pilomatricomas occur rarely, in 2-3.5% of reported cases. The majority of cases of familial multiple pilomatricomas occur in association with myotonic dystrophy. The occurrence of multiple familial pilomatricomas in patients who are otherwise well is extremely rare. We describe a 29-year-old man with multiple pilomatricomas whose father and brother also had similar lesions. There is no history of myotonic dystrophy.
Insights
Multiple pilomatricomas are rare, especially in families without myotonic dystrophy. This case highlights a rare instance of familial multiple pilomatricomas in an otherwise healthy individual.
Area of Science:
- Dermatology
- Genetics
- Oncology
Background:
- Solitary pilomatricomas are common skin tumors.
- Multiple pilomatricomas are rare, occurring in 2-3.5% of cases.
- Familial multiple pilomatricomas are often associated with myotonic dystrophy.
Observation:
- A 29-year-old man presented with multiple pilomatricomas.
- His father and brother also had similar skin lesions.
- There was no family history of myotonic dystrophy.
Findings:
- This report describes an extremely rare case of multiple familial pilomatricomas.
- The affected family members were otherwise healthy, lacking myotonic dystrophy.
- This suggests potential genetic factors for pilomatricomas independent of myotonic dystrophy.
Implications:
- Highlights the possibility of hereditary pilomatricomas unrelated to myotonic dystrophy.
- May prompt further research into genetic predispositions for pilomatricoma development.
- Contributes to understanding the rare spectrum of familial pilomatricoma presentations.
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