EURASIAN JOURNAL OF

FAMILY MEDICINE

AVRASYA AİLE HEKİMLİĞİ DERGİSİ

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Skin Lesion On Umbilical Region
Umbilikal Bölgede Cilt Lezyonu
Asiye Sezer, Dilek Toprak

CASE

82-year-old woman presented to the family medicine clinics with a complaint of erythema and itching on umbilical region that had been present for the past 15 days. The patient said that the lesion worsened for last 3-4 days and red, hot, tender swelling in and around the umbilicus had occurred. She did not recognized any similar skin lesion in any part of her body. No medical care received before for this complaint. She had hypertension history. On physical examination, there was a fairly well-defined, 4x7cm reddish-brown, hot, mildly erythematous skin lesion in and around umbilicus (Figure 1). The patient was asymptomatic except this lesion and we couldn’t determined any other abnormal finding except Body Mass Index which was 31kg/m2 and TA: 180/90 mmHg. The other tests carried out, including full blood count, C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR), were all within the normal range.

Question

Which one of the following is the correct diagnosis, based on the patient's history and physical examination?

A. Tinea Corporis

B. Primary irritane dermatitis

C. Atopic Dermatitis

D. Seboreic Dermatitis

E. Intertrigo 


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