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2008:74:6;697-698
doi: 10.4103/0378-6323.45139
PMID: 19172019

An unusual periumbilical plaque

Bijal Mehta, Sangeeta Amladi, Chitra Nayak, Shankar Savant
 Department of Dermatology, T. N. Medical College and B. Y. L. Nair Ch. Hospital, Mumbai, India

Correspondence Address:
Bijal Mehta
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
India
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
Copyright: (C)2008 Indian Journal of Dermatology, Venereology, and Leprology

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].

What is your Diagnosis ?



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References
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