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Pilomatricomas are cutaneous adnexal tumors with matrical differentiation. We report and describe a rare variant called bullous pilomatricoma. Case synopsis A female in her 20s presented for evaluation and treatment of an enlarging blister on her right arm of nine months duration. She reported that the area first appeared similar to a bruise and subsequently enlarged to form a blister-like lesion. The patient could not recall any inciting trauma and denied pain or tenderness to palpation. Nofatcat:uuuap7xh55gf5bohssk4qtctwy