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.
Clayton AS, Elston DM, Kennard CD. Slowly Expanding Abdominal Plaque. Arch Dermatol. 1998;134(11):1477-1482. doi: