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Year : 2008  |  Volume : 74  |  Issue : 6  |  Page : 697-698

An unusual periumbilical plaque

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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/0378-6323.45139

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How to cite this article:
Mehta B, Amladi S, Nayak C, Savant S. An unusual periumbilical plaque. Indian J Dermatol Venereol Leprol 2008;74:697-8

How to cite this URL:
Mehta B, Amladi S, Nayak C, Savant S. An unusual periumbilical plaque. Indian J Dermatol Venereol Leprol [serial online] 2008 [cited 2021 Jan 20];74:697-8. Available from:

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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1.Burrows NP, Lovell CR. Disorders of connective tissue. In: Burns T, Breathnach S, Cox N, Griffiths C, editors. Rook's textbook of dermatology. 7 th ed. Blackwell Publishing; 2004. p. 46.21-26.  Back to cited text no. 1    
2.Johnson BL Jr, Honig P. Congenital diseases (Genodermatoses). In: Elder DE, Elenitsas R, Johnson BL Jr., Murphy GF, editors. Lever's histopathology of the skin. 9 th ed. Philadelphia: JB Lippincott; 1997. p. 159-61.  Back to cited text no. 2    
3.Pruzan D, Rabbin PE, Heilman ER. Periumbilical perforating pseudoxanthoma elasticum. J Am Acad Dermatol 1992;26:642-4.  Back to cited text no. 3  [PUBMED]  
4.Sapadin AN, Lebwohl MG, Teich SA, Phelps RG, DiCostanzo D, Cohen SR. Periumbilical pseudoxanthoma elasticum associated with chronic renal failure and angioid streaks--apparent regression with hemodialysis. J Am Acad Dermatol 1998;39:338-44.  Back to cited text no. 4  [PUBMED]  [FULLTEXT]


  [Figure 1], [Figure 2], [Figure 3]


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