Crusted Piloleiomyoma with mental retardation: a rare association
Sangeeta Kamboj1, Raj Kumar Sharma, Amit Kumar
1Department of Dermatology, Rajendra Institute of Medical Sciences, Ranchi, India. dermasony@gmail.com
Abstract:
Piloleiomyoma is an uncommon benign smooth muscle neoplasm arising from arrector pili muscle. It is clinically defined by the presence of solitary or multiple reddish brown, dome-shaped, smooth papules or nodules, ranging in size from a few millimeters to a centimeter. The patients are otherwise healthy; but mental retardation developing in some patients with multiple Piloleiomyomas has been emerging as an intriguing matter for analysis by the scientists. In this case report, a mentally retarded patient with Piloleiomyoma is described, who, besides the characteristic smooth and dome-shaped lesions on the anterolateral aspect of the dorsum of the right foot, had developed crusting on one of the largest lesions. The histopathological features were consistent with Piloleiomyoma. The occurrence of Piloleiomyoma in a mentally retarded child and its unusual crusted nature has been rarely reported. The association between Piloleiomyoma and mental retardation is further stressed in this case report.
Insights
Piloleiomyoma, a rare benign smooth muscle tumor, can occur in individuals with mental retardation. This case highlights an unusual crusted piloleiomyoma in a mentally impaired child, emphasizing the potential association.
Area of Science:
- Dermatology
- Pathology
- Genetics
Background:
- Piloleiomyoma is an uncommon benign neoplasm originating from arrector pili smooth muscle.
- Clinically presents as solitary or multiple reddish-brown, dome-shaped papules/nodules.
- An association with mental retardation in some patients with multiple piloleiomyomas is noted.
Purpose of the Study:
- To report a rare case of piloleiomyoma in a mentally retarded child.
- To describe the unusual crusted presentation of the lesions.
- To further investigate the link between piloleiomyoma and mental retardation.
Main Methods:
- Case report of a mentally retarded patient with piloleiomyoma.
- Clinical description of skin lesions on the foot.
- Histopathological examination to confirm diagnosis.
Main Results:
- The patient presented with characteristic piloleiomyoma lesions.
- One lesion exhibited unusual crusting.
- Histopathology confirmed piloleiomyoma.
Conclusions:
- Piloleiomyoma can occur in mentally retarded individuals.
- The crusted nature of the lesions in this case is rare.
- Reinforces the need for further research into the association between piloleiomyoma and mental retardation.
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