Table of Content

Current Issue

Summer 2021, Vol. 29 No. 2

Hong Kong J. Dermatol. Venereol. (2021) 29, 80-83

Case Report

Salvage reconstruction for a case of leiomyoma after delayed diagnosis for twenty years


YW Tsui 崔郁文 and HC Chen 陳宏基


Correct clinical and histopathological correlation is important for the diagnosis of unusual clinical conditions. We report on a case of a 47-year-old woman patient who presented with multiple painful lesions over the right leg which had been treated with repeated steroid injections for over 20 years. Despite treatment, she continued to suffer from chronic pain and insomnia. Skin biopsy was eventually performed which showed pilar leiomyoma, which was treated with radical excision, and free flap reconstruction. The postoperative result was satisfactory with no recurrence at follow-up at one-year. Pilar leiomyoma is differentiated from multiple scars by correlation between the clinical history, physical examination and histopathology.


Keywords: Connective tissue disorders, delayed diagnosis, surgery

關鍵詞: 結締組織病、延遲診斷、手術