Image in dermatology| Volume 119, ISSUE 3, P241-243, March 2006

Navel History

      A 21-year-old African American female had pruritic lesions around her umbilicus for 8 years. Two months before presentation, she developed additional lesions on her chest and ears. Treatment with topical hydrocortisone cream, 2.5%, resulted in no improvement. Her past medical history was significant for asthma and seasonal allergies. On examination, the patient had erythematous papules coalescing into scaly, lichenified plaques with post-inflammatory hyperpigmentation on her earlobes, around her umbilicus, and on her central chest (Figure 1, Figure 2, Figure 3).
      Figure thumbnail gr1
      Figure 1The patient had hyperpigmented, lichenified, papules and plaques in a periumbilical distribution.
      Figure thumbnail gr2
      Figure 2Red, scaly, lichenified plaques were also visible on the earlobe and postauricular skin.
      Figure thumbnail gr3
      Figure 3Grouped erythematous papules appeared on the chest as well.
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