A 50-year-old woman was referred for assessment of hypopigmented, atrophic plaques on her abdomen and inframammary area. A skin biopsy showed epidermal atrophy, vacuolar alteration of the dermo-epidermal junction, and sclerosis of the papillary dermis. Based on the physical examination and biopsy results, the patient was diagnosed with scleroderma.

1. Lesions on the abdomen.
What is your diagnosis
and your treatment?
F. Peral Rubio, M.D.
Department of Dermatology Complejo Hospitalario
Universitario, Badajoz, Spain.
www.dermatoblog.com

2. Lesions on the abdomen.
What is your diagnosis and treatment?
A 50-years-old women.
The patient was referred to us for the
assessment of lesions on the abdomen.

3. Lesions on the abdomen.
What is your diagnosis and treatment?
Physical Examination:
Hypopigmented, atrophic, 3cm to 6cm, thin
plaques were present on the abdomen and
inframammary area.
Genital skin was without lesion.

9. Lesions on the abdomen.
What is your diagnosis and treatment?
Skin Biopsy revealed:
Epidermal atrophy.
Vacuolar alteration of dermo-epidermal
junction.
Sclerosis of the papillary dermis.

10. Lesions on the abdomen.
What is your diagnosis and treatment?
Laboratory examinations were
performed in relation with the disease,
were normal or negative.

11. Lesions on the abdomen.
What is your diagnosis
and your treatment?
F. Peral Rubio, M.D.
Department of Dermatology Complejo Hospitalario
Universitario, Badajoz, Spain.
www.dermatoblog.com