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Slowly Expanding Abdominal Plaque
Anna S. Clayton, MD;
Dirk M. Elston, MD;
Charles D. Kennard, MD
Wilford Hall US Air Force Medical Center, San Antonio, Tex
Arch Dermatol. 1998;134:1477-1482.
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REPORT OF A CASE
A 43-year-old black woman presented with a slowly expanding, somewhat tender plaque of more than 1 year's duration on the upper area of her abdomen. She believed that it had started as a scar from a pustule. Keloids had previously developed in other areas of trauma. The lesion had been diagnosed and treated as a keloid by another physician. Treatment with gel sheeting was recommended. The patient used the sheeting for a few months, without result, and noted that she had difficulty making it adhere to the protuberant portions of the plaque. Because the lesion failed to respond to the sheeting, the patient was referred to our clinic for evaluation.
Physical examination revealed a 5 x 7-cm hyperpigmented plaque with pink nodules in the midline of the upper part of the abdomen (Figure 1). An incisional . . . [Full Text of this Article]
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