A 16-year-old male presented with a 10-year history of multiple facial papules and nodules. Similar lesions were present in other family members, indicating an autosomal dominant inheritance pattern. Histological examination showed keratinized stratified squamous epithelium overlying proliferating basoloid cells with horn cysts and chronic inflammatory cells. Multiple familial trichoepitheliomas is a rare autosomal dominant skin disease characterized by benign tumors resembling hair follicles that usually appear at puberty on the face and may spread to other areas. Treatment options aim to flatten the lesions and improve cosmetic outcomes but recurrence is possible.
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