title: Botulinum toxin type A--treatment of a patient with multiple cutaneous piloleiomyomas.
abstract: BACKGROUND
  Treatment of multiple cutaneous piloleiomyomas which are rare, frequently painful, benign tumors originating from the arrector pilorum muscle of hair follicles is difficult.
  
  
  OBJECTIVE
  To determine the efficiency of botulinum toxin type A (BT-A) treatment for pain relief of cutaneous piloleiomyomas.
  
  
  METHODS
  A patient with multiple painful piloleiomyomas was treated with local injections of 200 units of BT-A.
  
  
  RESULTS
  There was a rapid and sustained decrease in pain. Treatment was repeated every 3 months for 2 years with the same efficacy.
  
  
  CONCLUSIONS
  BT-A may be a promising new treatment option for multiple painful cutaneous piloleiomyomas.
authors.affiliation: Department of Dermatology, Faculty of Medicine, University of Crete, Heraklion, Greece.
authors.forename: Maria K
authors.initials: MK
authors.lastname: Sifaki
authors.forename: Sabine
authors.initials: S
authors.lastname: Krueger-Krasagakis
authors.forename: Anastasios
authors.initials: A
authors.lastname: Koutsopoulos
authors.forename: Georgios I
authors.initials: GI
authors.lastname: Evangelou
authors.forename: Androniki D
authors.initials: AD
authors.lastname: Tosca
mesh_terms: D000368:Aged; D019274:Botulinum Toxins, Type A / Q000008:administration & dosage*; D006197:Hair; D006801:Humans; D015552:Injections, Intralesional; D018231:Leiomyomatosis / Q000188:drug therapy*; D008297:Male; D009465:Neuromuscular Agents / Q000008:administration & dosage*; D012878:Skin Neoplasms / Q000188:drug therapy*; D016896:Treatment Outcome
chemical_list: D009465:Neuromuscular Agents; D019274:Botulinum Toxins, Type A