Introduction
Smooth muscle hamartoma (SMH) is a benign skin tumor characterized by the proliferation of smooth muscle bundles, primarily originating from the pilomotor muscles. SMH most commonly presents in the lumbar and sacral regions and typically manifests within the first six months of life. The clinical presentation of SMH is characterized by pale brown macules with slightly indistinct borders. To date, there have been few reported cases of multiple SMH in the literature 1. Additionally, there are very limited reports of acquired SMH2. In this report, we present a unique case of acquired SMH with multiple distribution and depressed appearance.