Multiple cutaneous nodules in segmental distribution- Zosteriform leiomyoma revisited

Cutaneous leiomyoma are benign smooth muscle tumors of the skin. They present as solitary or multiple flesh colored, occasionally painful skin-colored to brownish papules and nodules. The uncommon pattern of multiple leiomyoma includes linear, zosteriform, or dermatomal like arrangement of lesion. Segmental or zosteriform leiomyoma can occur either along single dermatome (type 1) or with scattered non segmental lesions elsewhere (type 2). Type II segmental leiomyomas have been rarely reported in literature and after extensive search in Pubmed –Medline data base we could find less than ten cases of this variety reported till date from eastern part of India. Here we are reporting a case of Type II zosteriform leiomyoma for its rarity and its potential association with RCC which required regular follow up.