Case 8: Skin Lesion of Abdomen, Clinically Elevated

  • Dong-Lin XieEmail author
  • Tam H. Nguyen
  • Robert A. Norman
Part of the Clinical Cases in Dermatology book series (CLIDADE)


A 60-year-old female with an extensive past medical history of a hereditary neuropathy, congestive heart failure, type 2 diabetes mellitus, chronic obstructive pulmonary disease and schizophrenia presented with a rash on her abdomen for several weeks. She noted the rash was extremely itchy and flared every few months. Nothing seemed to alleviate or aggravate the itching.


Abdominal rash Pruritic rash Papular rash Transepithelial elimination Trichome stain Verhoeff-Van Gieson stain Perforating disorder 

Suggested Reading

  1. Arora K, Hajirnis KA, Sawant S, Sabnis V, Gaikward N. Perorating disorders of the skin. Indian J Pathol Microbiol. 2013;56(4):355–8.CrossRefGoogle Scholar
  2. Arora S, Malik A, Balki A. Reactive perforating collagenosis. Indian Dermatol Online J. 2016;7(2):139–40.CrossRefGoogle Scholar
  3. Bekkali N, Gil Bistes D, Joujoux JM, Meunier L, Stoebner PE. Acquired reactive perforating collagenosis. Ann Dermatol Venereol. 2014;141(2):170–2.CrossRefGoogle Scholar
  4. Kim RH, Kwa M, Adams S, Meehan SA, Stein JA. Giant acquired reactive perforating collagenosis in a patient with diabetes mellitus and metastatic breast carcinoma. JAAD Case Rep. 2016;2(1):22–4.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  • Dong-Lin Xie
    • 1
    Email author
  • Tam H. Nguyen
    • 2
  • Robert A. Norman
    • 3
    • 4
  1. 1.Ruffolo, Hooper & Associates, M.D, P.A.TampaUSA
  2. 2.DO, PGY-1 Larkin Community HospitalMiamiUSA
  3. 3.Department of DermatologyNova Southeastern UniversityTampaUSA
  4. 4.Center for Geriatric Dermatology and Neuro-DermatologyTampaUSA

Personalised recommendations