Abstract
Pilomatrixomas are common skin appendage tumors of hair matrix cell origin that usually present as a slowly growing dermal or subcutaneous mass.1 The lesion is well known to dermatologists and pathologists but has received infrequent attention in the pediatric lit erature in spite of the fact that it has a distinct age distribution, occurring most commonly in children and adolescents.2 This report presents a case in which the preliminary clinical diagnosis was atypical mycobacterial cervical adenitis, with review of the literature to demonstrate the diagnostic dilemma that can occur.
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