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December 1990

Umbilical Lesion in a Young Child

Author Affiliations

University of Texas Medical School, Houston

Arch Dermatol. 1990;126(12):1643-1644. doi:10.1001/archderm.1990.01670360107022

REPORT OF A CASE  An 18-month-old boy of Latin-American ancestry was seen in the University of Texas Dermatology Clinic, Houston, for a red, glistening nodule of the umbilical area, present since early infancy. The lesion had been treated several times with silver nitrate without response. No drainage or secondary infection was noted, and the patient was in excellent health.On physical examination, a 4-mm shiny red papule with a sticky surface in the umbilicus was seen (Fig 1). The surrounding skin was normal, and the remainder of the skin examination was unremarkable.The lesion was removed by shave excision and the base was electrodesiccated. The biopsy specimen is shown in Figs 2 and 3.What is your diagnosis?

DIAGNOSIS:  Omphalomesenteric duct (OMD) polyp.

DISCUSSION  Our case illustrates several typical features of an OMD polyp. This is a bright-red polyp that may have a glistening,

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