Atrophic Lesion on the Abdomen

Abstract

An 18-month-old child presented with a 4-cm, atrophic, flesh-colored plaque on the left lateral aspect of the abdomen with overlying wrinkling of the skin. There was no outpouching of the skin or pain associated with the lesion. No other skin abnormalities were noted. The child was born premature at 30 weeks' gestation (birth weight, 1400 g). The postnatal course was complicated by respiratory distress syndrome requiring prolonged ventilator support. The infant was in the neonatal intensive care unit for 5 months. The atrophic lesion first developed at 5 months of life and remained stable. Although the lesion was not present at birth, the parents noted that it was preceded by an ecchymotic lesion without necrosis that was first noticed at 2 months of life while the patient was in the neonatal intensive care unit. WHAT'S THE DIAGNOSIS? a. anetoderma of prematurity b. connective tissue nevi c. cutis laxa d. focal dermal hypoplasia e. nevus lipomatosus superficialis