Delorme N, Doré MX, Croué A, Maillard H, Verret JL. Présentation inhabituelle d’une myofibromatose cutanée infantile en plaque unique ulcérée.
Ann Dermatol Venereol 2005;
132:338-41. [PMID:
15886560 DOI:
10.1016/s0151-9638(05)79278-4]
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Abstract
INTRODUCTION
Infantile myofibromatosis is a rare fibrovascular-like, isolated or multicentric tumor, occasionally of the bone or an organ and appearing before the age of 2. We report a case of infantile myofibromatosis in a child in an atypical form with a single, ulcerated plaque and having developed after the onset of clusters of papular nodules.
OBSERVATION
An infant was seen in consultation because of asymptomatic papules that had developed on the back. The histological examination of a partial biopsy revealed a histiocytofibromatus aspect and led to the diagnosis of clusters of multiple histiocytofibromatous. One year later, the papular nodules had converged, forming a large plaque with ulcerated center. The progressive extension and the absence of healing prompted surgical exeresis and the final diagnosis of myofibromatosis.
DISCUSSION
Diagnosis of infantile myofibromatosis is difficult histologically and clinically and relies on a clear anatomoclinical confrontation. The clinical aspects are varied. To our knowledge, myofibromatosis with a single ulcerated plaque has never been reported in the literature before.
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