Atypical Pediatric Presentation of Pilomatricoma

    June 2023 in “ Cureus
    Cassandra Mohr, Jaime A. Tschen
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    Studysummary This case study describes a 4-year-old boy whose neck tumor was initially misdiagnosed as scrofuloderma before being correctly identified as a pilomatricoma, underscoring the need to include pilomatricoma in differential diagnoses for persistent skin lesions. Our plain-language summary of this paper — not a Tressless recommendation.
    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.
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