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Plumari A., Motta L. R., La Greca S.
U. O. di Dermatologia e M.T.S., AORNAS “Garibaldi”, Catania, Italia
Pilomatricoma, a benign skin appendage tumor, may present as solitary or multiple lesions in association with myotonic dystrophy, Gardner’s syndrome or Rubenstein-Taybi syndrome. This report describes a case of multicentric pilomatricoma characterized by numerous lesions arising in diverse skin areas. Given the rare occurrence of the condition, accurate family history taking was performed in addition to diagnostic procedures to exclude an association with neurologic, gastrointestinal, ocular and internal organ pathologies. The family medical history was significant for intestinal polyposis and carcinoma in the patient’s mother and brother, and mutation of the adenomatous polyposis coli (APC) suppressor oncogene in several of her children, which suggested a possible association with latent phase or late-onset Gardner’s syndrome, as reported in the literature. The patient and her children at risk for developing the syndrome are being followed up by a multidisciplinary medical team.