Multiple cutaneous leiomyomas: Pain relief with pulsed hysocine butyl bromide

Kaliyadan, Feroze; Manoj, Jayasree; Dharmaratnam, AD

doi:10.4103/0019-5154.48994

Cited by 9 publications

(6 citation statements)

References 10 publications

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“…The precise pathomechanism of pain in leiomyoma cutis is unknown but pressure on nerve fibers and abnormal muscle contraction have been suggested as possible explanations. [ 10 ] Our patient was however nearly asymptomatic.…”

Section: Discussionmentioning

confidence: 81%

Bilateral multisegmental zosteriform leiomyoma cutis: A rare entity

2015

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Cutaneous leiomyomas are benign tumors derived from the smooth muscles of the skin. They are firm, skin-colored to brownish, frequently painful papules and nodules presenting either as a solitary tumor or multiple clustered lesions. Uncommon patterns of multiple leiomyoma cutis include linear, zosteriform, or dermatomal-like arrangement of lesions. We saw a 32-year-old man who presented with clusters of skin colored to reddish brown, occasionally painful papules and nodules distributed segmentally over C6 to T8 dermatomes on left side and T11 to L1 dermatomes on right side. Histopathology confirmed the diagnosis of cutaneous leiomyoma. The case is reported here for the occurrence of this benign cutaneous neoplasm in an extremely rare bilateral multisegmental distribution.

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Section: Discussionmentioning

confidence: 81%

Bilateral multisegmental zosteriform leiomyoma cutis: A rare entity

2015

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“…However, in case of extensive lesions, various pharmacological options like nifedipine, doxazocine, gabapentine, and topical 9% hyoscine hydrobromide have been used to alleviate the pain associated with these tumors. [6]…”

Section: Discussionmentioning

confidence: 99%

Unilateral multi-segmental leiomyomas: A report of rare case

et al. 2013

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A 30-year-old female presented to us with multiple tender erythematous papules and nodules. These lesions showed multi-segmental distribution along 5th cervical, 6th dorsal, and 1st sacral segments of right half of the body. Histopathological examination confirmed the clinical diagnosis of leiomyoma. Patient was started on nifedipine 10 mg thrice-daily with significant symptomatic improvement in 3 months. Though segmental distribution of leiomyoma is common, unilateral multi-segmental distribution has not been so far reported in the literature. Hence, the case is being reported for its rare presentation and the need for long-term follow-up in view of its association with aggressive renal carcinoma.

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“…Various theories have been proposed including pressure on nerve fibres and abnormal erector pili muscle contraction. Carbon dioxide laser ablation, hyoscine butyl bromide, nifedipine, phenoxybenzamine, doxazosin, and gabapentin have all been tried with varying degrees of success (6).…”

Section: Diagnosis: Type 1 Segmental Cutaneous Leiomyomatosismentioning

confidence: 99%

Unilateral Eruption of Painful Papules: A Quiz

Scott¹,

Francis²,

Singh³

2014

Acta Derm Venerol

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A 36-year-old man of Pakistani origin presented with a 10-year-history of unilateral lesions involving his left arm, left torso and left leg. The lesions were painful following showers and on light touch. He was otherwise well with no significant past medical history. There was no family history of similar lesions and his parents were non-consanguineous. On examination, groups of firm reddish brown papules were seen over the left hand side of the body (Fig. 1). The lesions did not cross the midline. On histological examination of a lesional punch biopsy, a dermal tumour consisting of densely arranged interlacing fascicles of spindle cells with blunt ended nuclei and eosinophilic cytoplasm was seen. There was no pleomorphism or mitotic activity (Fig. 2).

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Multiple cutaneous leiomyomas: Pain relief with pulsed hysocine butyl bromide

Cited by 9 publications

References 10 publications

Bilateral multisegmental zosteriform leiomyoma cutis: A rare entity

Bilateral multisegmental zosteriform leiomyoma cutis: A rare entity

Unilateral multi-segmental leiomyomas: A report of rare case

Unilateral Eruption of Painful Papules: A Quiz

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