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Multiple cutaneous leiomyomas: pain relief with pulsed hysocine butyl bromide.

Kaliyadan F, Manoj J, Dharmaratnam AD - Indian J Dermatol (2009)

Bottom Line: A 35-year-old male patient presented to our outpatient department, complaining of multiple, raised skin lesions on the forehead and back, associated with intermittent pain, especially on exposure to cold.A diagnosis of cutaneous leiomyoma (type 2 segmental) was made, which was confirmed by skin biopsy.The patient was started on a trial of pulsed Hyoscine Butyl bromide tablets, following which the patient had significant relief from pain associated with the lesions.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India. ferozkal@hotmail.com

ABSTRACT
A 35-year-old male patient presented to our outpatient department, complaining of multiple, raised skin lesions on the forehead and back, associated with intermittent pain, especially on exposure to cold. A diagnosis of cutaneous leiomyoma (type 2 segmental) was made, which was confirmed by skin biopsy. The patient was started on a trial of pulsed Hyoscine Butyl bromide tablets, following which the patient had significant relief from pain associated with the lesions.

No MeSH data available.


Related in: MedlinePlus

Extensive lesions over the back
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Figure 0002: Extensive lesions over the back

Mentions: On examination, grouped, soft to firm, skin colored papules and nodules over the left side of the forehead, including the temple region [Figure 1], and extensive lesions over the back [Figure 2] were found. Lesions were not seen over any other area. On cold stimulation using ice, the patient reported severe pain over the lesions, especially over the forehead lesions. Systemic examination showed parameters that were within normal limits. A clinical diagnosis of multiple cutaneous leiomyoma was made, which was confirmed by a skin biopsy [Figure 3, Figure 4]. Based on the presence of segmental lesions on the forehead and the extensive lesions over the back, the case was labeled as a type 2 segmental manifestation of cutaneous leiomyoma. The patient was evaluated for other systemic involvement, and all investigations including blood and imaging studies were within normal limits.


Multiple cutaneous leiomyomas: pain relief with pulsed hysocine butyl bromide.

Kaliyadan F, Manoj J, Dharmaratnam AD - Indian J Dermatol (2009)

Extensive lesions over the back
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2800879&req=5

Figure 0002: Extensive lesions over the back
Mentions: On examination, grouped, soft to firm, skin colored papules and nodules over the left side of the forehead, including the temple region [Figure 1], and extensive lesions over the back [Figure 2] were found. Lesions were not seen over any other area. On cold stimulation using ice, the patient reported severe pain over the lesions, especially over the forehead lesions. Systemic examination showed parameters that were within normal limits. A clinical diagnosis of multiple cutaneous leiomyoma was made, which was confirmed by a skin biopsy [Figure 3, Figure 4]. Based on the presence of segmental lesions on the forehead and the extensive lesions over the back, the case was labeled as a type 2 segmental manifestation of cutaneous leiomyoma. The patient was evaluated for other systemic involvement, and all investigations including blood and imaging studies were within normal limits.

Bottom Line: A 35-year-old male patient presented to our outpatient department, complaining of multiple, raised skin lesions on the forehead and back, associated with intermittent pain, especially on exposure to cold.A diagnosis of cutaneous leiomyoma (type 2 segmental) was made, which was confirmed by skin biopsy.The patient was started on a trial of pulsed Hyoscine Butyl bromide tablets, following which the patient had significant relief from pain associated with the lesions.

View Article: PubMed Central - PubMed

Affiliation: Department of Dermatology, Amrita Institute of Medical Sciences and Research Centre, Kochi, Kerala, India. ferozkal@hotmail.com

ABSTRACT
A 35-year-old male patient presented to our outpatient department, complaining of multiple, raised skin lesions on the forehead and back, associated with intermittent pain, especially on exposure to cold. A diagnosis of cutaneous leiomyoma (type 2 segmental) was made, which was confirmed by skin biopsy. The patient was started on a trial of pulsed Hyoscine Butyl bromide tablets, following which the patient had significant relief from pain associated with the lesions.

No MeSH data available.


Related in: MedlinePlus