LETTER TO THE EDITOR: Multiple flesh coloured nodules with unilateral segmental distribution

Madam, Piloleiomyomas are benign smooth muscle tumours arising from the arrectores pilorum muscles in the skin, and they are rare dermal tumours. They usually present as small, reddish-brown or skin-coloured, firm, often painful papules or as nodules on the trunk and the extremities. Lesions on the trunk are typically multiple, also known as leiomyomatosis, and can be arranged in a diffuse (disseminated), blaschkoid or segmental distribution. Although segmental leiomyomas are called zosteriform leiomyoma by some writers, these do not show a dermatomal distribution. Lesions on the extremities tend to be solitary.