[Umbilical endometriosis mimicking a keloid in a young black woman: A case report].

Autor: Kourouma HS; Service de dermatologie du CHU de Treichville, Abidjan, Cote d'Ivoire. Electronic address: sarambilal@yahoo.fr., Ecra EJ; Service de dermatologie du CHU de Treichville, Abidjan, Cote d'Ivoire., Allou AS; Service de dermatologie du CHU de Treichville, Abidjan, Cote d'Ivoire., Kouyaté M; Service de dermatologie du CHU de Treichville, Abidjan, Cote d'Ivoire., Kouassi YI; Service de dermatologie du CHU de Treichville, Abidjan, Cote d'Ivoire., Kaloga M; Service de dermatologie du CHU de Treichville, Abidjan, Cote d'Ivoire., Kouassi KA; Service de dermatologie du CHU de Treichville, Abidjan, Cote d'Ivoire., Kassi K; Service de dermatologie du CHU de Treichville, Abidjan, Cote d'Ivoire., Kouamé K; Service de dermatologie du CHU de Treichville, Abidjan, Cote d'Ivoire., Ahogo C; Service de dermatologie du CHU de Treichville, Abidjan, Cote d'Ivoire., Gbery IP; Service de dermatologie du CHU de Treichville, Abidjan, Cote d'Ivoire., Sangaré A; Service de dermatologie du CHU de Treichville, Abidjan, Cote d'Ivoire.
Jazyk: francouzština
Zdroj: Annales de dermatologie et de venereologie [Ann Dermatol Venereol] 2017 Oct; Vol. 144 (10), pp. 617-620. Date of Electronic Publication: 2017 Jun 23.
DOI: 10.1016/j.annder.2017.05.004
Abstrakt: Background: Most umbilical tumors are diagnosed as benign tumors, umbilical metastases of abdominal and pelvic tumors, or Sister Marie Joseph nodule. Herein, we report a case of cutaneous umbilical endometriosis mistaken for a keloid.
Patients and Methods: A young black woman aged 26 consulted for a painful umbilical tumefaction. She had noted the appearance of a nodule of the umbilicus 10 months ago with bleeding during her menstrual periods. Skin examination revealed a firm and painful umbilical nodule 2.5cm in diameter. She was treated with corticosteroid injections for one month for umbilical keloid. Given that the symptoms recurred regularly at the time of menstruation, we suspected umbilical endometriosis. This diagnosis was finally confirmed by histopathological examination and hormone therapy was instituted on gynecological advice before scheduled surgical excision.
Conclusion: In a setting of an umbilical tumor simulating a keloid associated with cyclical symptoms in a black woman, the diagnosis of umbilical endometriosis should not be overlooked by the dermatologist.
(Copyright © 2017 Elsevier Masson SAS. All rights reserved.)
Databáze: MEDLINE
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