Volume 14 - Issue 4 - April 2006

Patient Presentation A 69-year-old Caucasian female presented to the dermatology clinic with a slow-growing pigmented lesion near her umbilicus that had been developing over the course of approximately 3 months. The lesion began as a small erythematous macule that enlarged and became more heavily pigmented. The patient denied pruritus, pain or bleeding. On physical exam, a shiny, irregularly shaped, asymmetric, firm purple to gray-black plaque measuring 2.5 cm by 2 cm with areas of brown-to-black speckled pigmentation was found on the left lower side of the umbilicus.