A Case Report of a Soft Lesion on The Buttock: A Classical Form of Naevus Lipomatosis Superficialis in a Kurdish Adult

Naevus lipomatosis cutaneous superficialis (NLCS) is a rare benign hamartoma of adipose tissue of the skin characterized by the presence of clusters of mature ectopic fat cells among the collagen bundles of the dermis. Usually, the number of adnexal structures is reduced in NLCS with preserved morphology. NLCS is also recognized as "Naevus lipomatosis of Hoffman and Zurhelle". NLCS is presented as a group of soft ivory-skin coloured nodules mostly on the lower back, buttock, and abdomen. The nodules can be sessile and single, or grouped and pedunculated with smooth, wrinkled surface. They could present early in life or develop later between the second and sixth decade. The histopathological structure illustrates strands of mature fat cells in the dermis with intersecting collagen bundles. I am presenting a rare case of adult-onset classical NLCS, where the patient was emotionally distressed, depressed and mentally unstable as a result of its physical appearance.