Atypical Pediatric Presentation of Pilomatricoma

Pilomatricomas are rare, benign tumors of the hair follicle that are frequently misdiagnosed. This article presents the case of a 4-year-old boy with a persistent draining tumor on his neck, initially misdiagnosed as scrofuloderma. A biopsy later confirmed it as pilomatricoma, and it was successfully treated with elliptical excision. The case highlights the importance of including pilomatricoma in differential diagnoses to avoid misdiagnosis.