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An unusual periumbilical plaque
Department of Dermatology, OPD-14, 'O' bldg., 2nd Floor, B. Y. L. Nair Ch. Hospital, Dr. A. L. Nair Road, Mumbai Central, Mumbai - 400 008
|How to cite this article:
Mehta B, Amladi S, Nayak C, Savant S. An unusual periumbilical plaque. Indian J Dermatol Venereol Leprol 2008;74:697-698
A 55-year-old menopausal woman presented with an asymptomatic raised lesion around the umbilicus since the past 3 years. The lesion was gradually increasing in size. There was no history of any abdominal surgeries. The patient was hypertensive and on treatment with atenolol 50 mg OD since 4 years. She was a multiparous woman with 4 children.
On examination, the abdominal skin was loose and showed multiple striae gravidarum. The supra-umbilical area showed a well-demarcated, irregular, yellowish, crinkled, grooved plaque about 3 cm in size [Figure - 1]. On palpating the lesion, there was decreased skin turgor and the skin felt inelastic.
Blood biochemistry, including lipid profile and serum calcium, was normal. Electrocardiogram, 2D-echocardiograph and ultrasonography of the abdomen and pelvis were normal. Detailed ophthalmologic examination was normal. Findings of a skin biopsy from the lesion are shown in [Figure - 2],[Figure - 3].
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