Dermatology: Practical and Conceptual


Image Letter | Dermatol Pract Concept. 2022;12(3):e2022127 1

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.



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

References

1. Paschoal FM, Rezze GG. Dermoscopic findings in a patient 

with multiple piloleiomyomas. Dermatol Pract  Concept. 

2012;2(4):204a06. DOI: 10.5826/dpc.0204a06. PMID: 

23785620. PMCID: PMC3663367.

2. Diluvio L, Torti C, Terrinoni A, et al. Dermoscopy as an adjuvant 

tool for detecting skin leiomyomas in patient with uterine fi-

broids and cerebral cavernomas. BMC Dermatol. 2014; 16;14:7. 

DOI: 10.1186/1471-5945-14-7. PMID: 24739762. PMCID: 

PMC4005830.