"Case report: Periorbital pilomatricoma: a rare benign skin tumor misdi" by Rahul Kumar, Jane Z. Spadaro et al.
 

Case report: Periorbital pilomatricoma: a rare benign skin tumor misdiagnosed as cellulitis.

Document Type

Article

Publication Date

1-2025

Publication Title

Front Ophthalmol (Lausanne)

Abstract

PURPOSE: We describe an unusual case of a rapidly progressive pilomatricoma along the left brow, which was initially misdiagnosed and treated as preseptal cellulitis. Although rare, pilomatricomas and other adnexal tumors should be considered in the differential diagnosis of a growing mass near the brow.

CASE PRESENTATION: A 29-year-old male presented to the emergency department with a progressively enlarging left brow lesion, initially noted 3 weeks prior. Exam revealed an erythematous left subbrow mass that measured 2.5 x 2 cm, with resultant mechanical ptosis. The lesion was initially misdiagnosed and treated as preseptal cellulitis, with concern for abscess. The patient ultimately underwent excisional biopsy of the lesion and pathology revealed pilomatricoma.

CONCLUSIONS: Pilomatricoma has similarities to more common skin lesions. Lack of pain or tenderness are important clues against an infectious or inflammatory etiology. Complete surgical excision is therapeutic and allows for diagnostic confirmation. Histopathology is required to rule out pilomatrix carcinoma, a malignant variant.

Volume

5

First Page

1503693

DOI

10.3389/fopht.2025.1503693

ISSN

2674-0826

PubMed ID

39926619

Share

COinS