case_images: PMC5726688_01
case_images: Multiple light brown-reddish grouped papules and nodules on the trunk,
  back and extremities
case_images: abd-92-05-s1-0088-g01.jpg
case_images: PMC5726688_01_abd-92-05-s1-0088-g01.jpg
case_images: f1
case_images: A 20-year-old female patient presented with multiple light brown-reddish grouped papules and nodules symmetrically distributed on both the trunk and limbs (Figure 1).
case_images: A -Partially encapsulated epithelial tumor is seen on the right side and
  normal renal parenchyma on the left side (Hematoxylin & eosin, X40);
  Immunohistochemically, the tumor is positive for B -pancytokeratine,
  (x40) C -vimentine (x100) and D -Anti-mitochondrial antibody (x100)
case_images: abd-92-05-s1-0088-g02.jpg
case_images: PMC5726688_01_abd-92-05-s1-0088-g02.jpg
case_images: f2
case_images: She had a history of bilateral nephrectomy performed when she was 13 and 16 years of age due to histologically confirmed bilateral papillary type 2 renal cell carcinoma (Figure 2).
case_images: A well-demarcated tumor composed of intersecting in the third decade. To
  us, these family smooth muscle bundles is seen beneath the epidermis
  (Hematoxylin & eosin, X40 magnification).
case_images: abd-92-05-s1-0088-g03.jpg
case_images: PMC5726688_01_abd-92-05-s1-0088-g03.jpg
case_images: f3
case_images: A biopsy was taken from one of the skin lesions which demonstrated typical histologic features of cutaneous leiomyomas and a diagnosis of piloleiomyoma with a type 2 segmental distribution was made (Figures 3 and 4).
case_images: Immunohistochemistry study showed that the lesion was positive for desmin
  (A) - and smooth muscle antibidy (B) - Desmine antibody X40, Smooth
  muscle antibody X40)
case_images: abd-92-05-s1-0088-g04.jpg
case_images: PMC5726688_01_abd-92-05-s1-0088-g04.jpg
case_images: f4
case_images: A biopsy was taken from one of the skin lesions which demonstrated typical histologic features of cutaneous leiomyomas and a diagnosis of piloleiomyoma with a type 2 segmental distribution was made (Figures 3 and 4).