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JAMA Clinical Challenge
September 15, 2015

A Growing Scar on the Abdomen of a Middle-aged Woman

Author Affiliations
  • 1Department of Dermatology, University of Iowa Hospitals and Clinics, Iowa City
  • 2Departments of Dermatology and Pathology, University of Iowa Hospitals and Clinics, Iowa City Veterans Affairs Medical Center, Iowa City
JAMA. 2015;314(11):1169-1170. doi:10.1001/jama.2015.4082

A woman in her 50s presented for evaluation of a growing, painful scar on the right side of her abdomen. She reported having a rectangular area of discolored skin for the past 10 years that developed as a result of a complication during an interventional radiology procedure for treatment of a splenic aneurysm. Two months prior to presentation this lesion became painful and enlarged, without improvement with triamcinolone cream or oral antibiotics. She also reported recent fevers, night sweats, nausea, and fatigue. She denied international travel, drug use, incarceration, and high-risk sexual behavior.