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Year : 2009  |  Volume : 75  |  Issue : 3  |  Page : 329-

Periumbilical perforating pseudoxanthoma elasticum

Goztepe Training and Research Hospital, Department of Dermatology, Istanbul, Turkey

Correspondence Address:
Emek Kocaturk
Göztepe Egitim Hastanesi Dermatoloji Klinigi Kadiköy/Istanbul
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0378-6323.51246

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A 58-year-old, gravida 6, obese woman presented with a pruritic yellowish plaque around the umbilicus, which first appeared about 3 years ago. She also had flat yellow papules on the axilla and neck. After a burn from a heating device, a few perforating papules and a violaceous hue occurred on the plaque. Histological examination revealed pathological elastic fibers with a keratotic plug and perforation in the deep dermis, which was consistent with perforating pseudoxanthoma elasticum. This case indicates that perforating pseudoxanthoma elasticum, a variant of hereditary pseudoxanthoma elasticum may perforate due to mechanical factors.


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Online since 15th March '04
Published by Wolters Kluwer - Medknow