An unusual presentation of epidermoid cyst as multiple skin nodules masquerading as neurofibroma

Epidermoid cysts, also known as keratin cysts, are benign cystic malformations containing keratin and lipid-rich debris. These lesions generally present as painless, nontender, soft tissue masses. They can involve any part of the body but most commonly involve face, chest, back, and genital areas. They can have both congenital and acquired presentation. They are in general seen as a solitary skin nodule but can rarely present as multiple skin nodules. We present a case of a 52-year-old male patient who presented with multiple skin nodules involving face, chest, and back. After making a provisional diagnosis of an epidermoid cyst, surgical excision was performed. Histopathological examination confirmed the diagnosis of an epidermoid cyst. The patient's follow-up was uneventful, with no episodes of recurrence or infection. This report emphasizes the rarity of multiple widespread epidermoid cysts and the importance of considering differential diagnoses and appropriate intervention methods.