Periumbilical Hyperpigmented Plaque

Abstract

REPORT OF A CASE The patient, a 68-year-old black woman, gravida 13, para 12, aborta 1, presented with a long history of a stable pruritic eruption on her left lower abdomen. She denied a history of trauma to the area or contact with any irritant. No treatment for this eruption was administered. Her medical history was significant for borderline hypertension, end-stage renal disease (she underwent hemodialysis three times per week), peptic ulcer disease, cholecystectomy, umbilical hernia repair, and gluteal cleft cyst excision. She denied a history of diabetes mellitus, peripheral vascular disease, coronary artery disease, or bleeding disorders. She had no known drug allergies and received sucralfate, calcium carbonate, aluminum hydroxide antacid, and metoprolol. The patient denied a family history of connective-tissue disorders. The patient's physical examination revealed her blood pressure to be 180/70 mm Hg. Results from a funduscopic examination showed a cataract in the left eye and mild