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JAMA Dermatology Clinicopathological Challenge
February 2014

An Infant With Atrophic and Wrinkled Abdominal Skin

Author Affiliations
  • 1Department of Pediatrics, State University of New York at Buffalo
  • 2Department of Dermatology, State University of New York at Buffalo, Buffalo
  • 3Silver Creek Pediatrics, Silver Creek, New York
JAMA Dermatol. 2014;150(2):197-198. doi:10.1001/jamadermatol.2013.5721

A 7-week-old white male infant born at 37 weeks’ gestation via cesarean delivery owing to maternal hypertension presented to our dermatology clinic for evaluation of white patches and plaques on his abdomen and thighs. The patient’s weight, height, and head circumference were in the 25th to 75th percentiles. Examination revealed hypopigmented atrophic papules and plaques on the lower abdomen and proximal thighs suggestive of sclerodermatous changes. The surrounding skin appeared wrinkled (Figure 1, A). The patient was also noted to have a triangular face, pointed nose, and micrognathia.

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