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February 1996

A Yellow Plaque With Keratotic Papules on the Abdomen

Author Affiliations

The Johns Hopkins Medical Institutions (Drs Karp, O'Neill, and Haberman) and Francis Scott Key Medical Center (Dr Taylor), Baltimore, Md

Arch Dermatol. 1996;132(2):227-228. doi:10.1001/archderm.1996.03890260129021

REPORT OF A CASE  A 57-year-old moderately obese white woman was hospitalized for evaluation of a 2-day history of hemoptysis preceded by 2 weeks of cough with purulent sputum. Her history was notable for claudication requiring aortobifemoral bypass surgery and amputation of the second toe of the right foot owing to gangrene. Medications on admission were pentoxifylline and dipyridamole. The patient denied cardiac and gastrointestinal disease, hypertension, diabetes, bleeding diathesis, or visual disturbances. Her history was significant for 11 pregnancies carried to term and a 55 pack-year tobacco habit.A thorough workup of the patient's hemoptysis revealed a diagnosis of tracheobronchitis. During the hospitalization, a dermatology consultation was requested for evaluation of an abdominal plaque present for years.Physical examination revealed an asymptomatic periumbilical plaque of lax skin composed of confluent yellow cobblestoned papules (Figure 1). Three discrete light brown keratotic papules were located within this plaque (Figure 2). A

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