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February 1996

Atrophic Outpouchings of Abdominal Skin

Author Affiliations

Dartmouth-Hitchcock Medical Center, Lebanon, NH (Drs Carroll and Collison), and Henry Ford Hospital, Detroit, Mich (Dr Rodman)

Arch Dermatol. 1996;132(2):225-226. doi:10.1001/archderm.1996.03890260127020

REPORT OF A CASE  A 65-year-old woman presented with periorbital pruritus. A skin examination revealed distinctive abdominal lesions. The patient dismissed them as stretch marks secondary to multiple pregnancies. The lesions were asymptomatic and had been present for 10 to 15 years. History revealed easy bruisability, fatigue, paresthesia of the hands, and carpal tunnel syndrome.On physical examination, she had soft sessile erythematous and slightly atrophic protrusions on the anterior lower abdomen that were distributed discontinuously in a beltlike fashion (Figure 1 and Figure 2). The periorbital skin was unremarkable. The tongue was slightly enlarged with flattened rugae.Laboratory test results including a complete blood cell count (CBC), electrolytes, thyroid function, urinalysis, and chest radiograph were normal. Results from a bone marrow biopsy specimen and urine protein electrophoresis were also unremarkable. Serum protein electrophoresis revealed mild hypergammaglobulinemia but no monoclonal spike.A biopsy specimen of an abdominal lesion was stained

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