Department Case Study—Primary Care| Volume 30, ISSUE 5, P491-494, September 2016

Trichilemmoma in Childhood

      A 7-year-old Chinese American boy presented to a primary care clinic (PCC) with concerns about two masses located on his neck. The patient's mother reported that the masses had been present for 8 months and had fluctuated in size. The masses had not been incised or biopsied. The patient denied any pain associated with the masses, and his review of systems was negative. After four examinations at the PCC, two courses of antibiotics, one examination by an otolaryngologist (ENT), and a histologic examination of the mass, the patient was diagnosed with trichilemmoma.

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      Doreen W. Ng, Certified Pediatric Nurse Practitioner, Advantage Care Physicians, Jamaica, NY.