Although folliculosebaceous cystic hamartoma (FCH) is an uncommon cuta
neous entity with distinct classical and variant histopathologic featu
res, it lacks distinctive typifying clinical features. Since the origi
nal description of five cases of FCH by Kimura et al,(1) in 1991, 12 c
ases have been documented. We report a further case of FCH presenting
as facial lesion in a 35 year old African male. FCH comprises prominen
t epithelial and mesenchymal components. The epithelial component is c
haracterised by folliculosebaceous proliferation with cyst-like infund
ibular dilatation, and the mesenchymal component exhibits variable fib
roplasia? vascular and neural proliferation and adipocyte metaplasia,
Awareness of the lesion is important to avoid confusion with other cys
tic or cyst-like cutaneous lesions that contain prominent epithelial f
olliculosebaceous and variable mesenchymal components.