Pilomatrixoma — SCE Dermatology MCQ

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HardSkin CancerPilomatrixomaSCE Dermatology

An adult has multiple pilomatricomas, early cataracts, distal weakness and percussion myotonia. Which underlying disorder is most likely?

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Correct answer: A — Myotonic dystrophy

Multiple pilomatricomas, particularly in an adult, can be a marker of myotonic dystrophy. The neuromuscular and cataract phenotype provides the key syndromic context; numerous lesions should prompt a targeted personal and family history rather than being treated as unrelated nodules.

Reference: https://academic.oup.com/bjd/pages/bad-guidelines