Leiomyosarcomas are rare malignant tumors of smooth muscles. Superficial leiomyosarcomas are classified into two subtypes depending on their location: cutaneous forms arise from the arrector pili muscles of hair follicles or dartos muscles of genital skin; subcutaneous forms arise from the smooth muscle lining of arterioles and veins in subcutaneous tissue. Superficial cutaneous leiomyosarcomas on the head are very rare. We report three cases of superficial cutaneous leiomyosarcoma, one localized on the face and two on the forehead.

References1 Motley RJ, Gould DJ, Douglas WS et al. Treatment of basal cell carcinoma by dermatologists in the United Kingdom. Br J Dermatol 1995; 132 : 437 -440. 2 Czarnecki D, Meehan C, Nash C. Prevention of post-excisional wound infections: A comparison of oral cephalexin with topical mupirocin and topical cetrimide-chlorhexidine cream. Int J Dermatol 1992; 31 : 359 -360. 3 Kirkup ME, de Berker DAR. Clinical measurement of dimensions of basal cell carcinoma: Effect of waiting for elective surgery.References 1 Altman J, Winkelmann RK. Diffuse normolipemic plane xanthoma. Arch Dermatol 1962; 85 : 633 -640. 2 Lynch PJ, Winkelmann RK. Generalized plane xanthoma and systemic disease. Arch Dermatol 1966; 93 : 639 -646. fig. 1 The patient presented with disseminated yellow patches on the face, neck, and anterior chest wall. The lesions were limited to photoexposed skin. fig. 2 The lesions were sharply demarcated from uninvolved skin. 512 Letters

Epidermolysis bullosa pruriginosa, a genetic mechanobullous disease, manifests at birth or late in life and is characterised by intense pruritus, resulting in lichenified or nodular prurigo-like lesions and scarring most prominent on the shins. Treatment is unsatisfactory. We report a patient treated with success using a combination of topical and systemic agents.

No abstract