SANTOS, Vitorino Modesto Catholic University (UCB) - Armed Forces Hospital (HFA) - Internal Medicine, Brazil , MODESTO, Antonio Augusto Dall Agnol Family and Community Medicine - Community Medicine, Brazil , AMUI, Milena Oliveira Universidade de Uberaba (Uniube) - Internal Medicine, Brazil

Presternal Skin Growth in a Brazilian Young Woman

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This 20-year-old woman with dark skin type came to our service for evaluation of a slowly enlarged and asymptomatic cutaneous thickening on her anterior chest region of about six years duration. She was born in the Brazilian Amazon region, and lived in tropical humid areas. At fourteen years she suffered an accidental fall with anterior chest trauma, which resulted in a superficial wound with local infection. The healing of the lesion was delayed for about a month, and the resultant scar progressively increased in size even beyond the limits of the original wound. Her mother had a lesion that suspected to be scleroderma, but investigation ruled out this hypothesis. Physical examination revealed a presternal plaque with a rubbery consistence, an irregular surface, and an outline containing numerous papules of more than 5 mm in diameter (Figures 1,2). It was worthy of note that the patient was otherwise healthy, and routine laboratory exams were normal.

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Marmara Medical Journal

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