Cutaneous Endometriosis: A Differential Diagnosis of Umbilical Nodule

Detalhes bibliográficos
Autor(a) principal: Batista, Mariana
Data de Publicação: 2020
Outros Autores: Alves, Francisca, Cardoso, José, Gonçalo, Margarida
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
Texto Completo: https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10966
Resumo: Endometriosis is a chronic disorder characterized by the presence of ectopic functional endometrial tissue outside the uterine cavity and which affects about 10% of all women of reproductive age. Cutaneous endometriosis, usually localized in the abdominal wall, is a rare entity. We report the case of a nulliparous woman with an acute painful umbilical nodule that slowly increased in size during the days prior to observation. The lesion was surrounded by a painful periumbilical subcutaneous plaque. The patient denied associated constitutional symptoms and reported two similar episodes in the previous two years. A skin biopsy was performed, and histopathologic examination was consistent with the diagnosis of endometriosis. This article reviews this disease particularly rare in nulliparous and highlights the importance of recognizing this clinical presentation of endometriosis due to its frequent association with pelvic disease that can lead to reduced fertility.
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spelling Cutaneous Endometriosis: A Differential Diagnosis of Umbilical NoduleEndometriose Cutânea: Um Diagnóstico Diferencial de Nódulo UmbilicalEndometriosisSkin Diseases/diagnosisUmbilicusDoenças da Pele/diagnósticoEndometrioseUmbigoEndometriosis is a chronic disorder characterized by the presence of ectopic functional endometrial tissue outside the uterine cavity and which affects about 10% of all women of reproductive age. Cutaneous endometriosis, usually localized in the abdominal wall, is a rare entity. We report the case of a nulliparous woman with an acute painful umbilical nodule that slowly increased in size during the days prior to observation. The lesion was surrounded by a painful periumbilical subcutaneous plaque. The patient denied associated constitutional symptoms and reported two similar episodes in the previous two years. A skin biopsy was performed, and histopathologic examination was consistent with the diagnosis of endometriosis. This article reviews this disease particularly rare in nulliparous and highlights the importance of recognizing this clinical presentation of endometriosis due to its frequent association with pelvic disease that can lead to reduced fertility.A endometriose é uma doença crónica caracterizada pela presença de endométrio funcional fora da cavidade uterina que afeta aproximadamente 10% das mulheres em idade reprodutiva. A endometriose cutânea com localização habitual na parede abdominal é uma manifestação rara da doença. Apresenta-se o caso de uma mulher jovem nulípara com um nódulo umbilical doloroso e de crescimento recente com placa dolorosa subcutânea periumbilical, sem outra sintomatologia associada. A anamnese revelou dois episódios semelhantes nos últimos dois anos. Foi realizada biópsia cutânea da lesão e o exame anatomopatológico foi compatível com endometriose. Os autores fazem uma revisão desta entidade clínica e realçam a importância do reconhecimento desta forma de apresentação, rara em nulíparas, dada a associação frequente a focos de endometriose noutras localizações e que podem condicionar um baixo nível de fertilidade.Ordem dos Médicos2020-04-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfapplication/pdfimage/tiffimage/tiffimage/tiffapplication/pdfapplication/pdfapplication/pdfapplication/pdfapplication/pdfhttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10966oai:ojs.www.actamedicaportuguesa.com:article/10966Acta Médica Portuguesa; Vol. 33 No. 4 (2020): April; 282-284Acta Médica Portuguesa; Vol. 33 N.º 4 (2020): Abril; 282-2841646-07580870-399Xreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAPenghttps://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10966https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10966/5911https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10966/10462https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10966/10463https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10966/10464https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10966/10465https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10966/10495https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10966/10496https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10966/10497https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10966/10498https://www.actamedicaportuguesa.com/revista/index.php/amp/article/view/10966/10932Direitos de Autor (c) 2020 Acta Médica Portuguesainfo:eu-repo/semantics/openAccessBatista, MarianaAlves, FranciscaCardoso, JoséGonçalo, Margarida2022-12-20T11:06:08Zoai:ojs.www.actamedicaportuguesa.com:article/10966Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T16:19:58.415987Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse
dc.title.none.fl_str_mv Cutaneous Endometriosis: A Differential Diagnosis of Umbilical Nodule
Endometriose Cutânea: Um Diagnóstico Diferencial de Nódulo Umbilical
title Cutaneous Endometriosis: A Differential Diagnosis of Umbilical Nodule
spellingShingle Cutaneous Endometriosis: A Differential Diagnosis of Umbilical Nodule
Batista, Mariana
Endometriosis
Skin Diseases/diagnosis
Umbilicus
Doenças da Pele/diagnóstico
Endometriose
Umbigo
title_short Cutaneous Endometriosis: A Differential Diagnosis of Umbilical Nodule
title_full Cutaneous Endometriosis: A Differential Diagnosis of Umbilical Nodule
title_fullStr Cutaneous Endometriosis: A Differential Diagnosis of Umbilical Nodule
title_full_unstemmed Cutaneous Endometriosis: A Differential Diagnosis of Umbilical Nodule
title_sort Cutaneous Endometriosis: A Differential Diagnosis of Umbilical Nodule
author Batista, Mariana
author_facet Batista, Mariana
Alves, Francisca
Cardoso, José
Gonçalo, Margarida
author_role author
author2 Alves, Francisca
Cardoso, José
Gonçalo, Margarida
author2_role author
author
author
dc.contributor.author.fl_str_mv Batista, Mariana
Alves, Francisca
Cardoso, José
Gonçalo, Margarida
dc.subject.por.fl_str_mv Endometriosis
Skin Diseases/diagnosis
Umbilicus
Doenças da Pele/diagnóstico
Endometriose
Umbigo
topic Endometriosis
Skin Diseases/diagnosis
Umbilicus
Doenças da Pele/diagnóstico
Endometriose
Umbigo
description Endometriosis is a chronic disorder characterized by the presence of ectopic functional endometrial tissue outside the uterine cavity and which affects about 10% of all women of reproductive age. Cutaneous endometriosis, usually localized in the abdominal wall, is a rare entity. We report the case of a nulliparous woman with an acute painful umbilical nodule that slowly increased in size during the days prior to observation. The lesion was surrounded by a painful periumbilical subcutaneous plaque. The patient denied associated constitutional symptoms and reported two similar episodes in the previous two years. A skin biopsy was performed, and histopathologic examination was consistent with the diagnosis of endometriosis. This article reviews this disease particularly rare in nulliparous and highlights the importance of recognizing this clinical presentation of endometriosis due to its frequent association with pelvic disease that can lead to reduced fertility.
publishDate 2020
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dc.language.iso.fl_str_mv eng
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dc.rights.driver.fl_str_mv Direitos de Autor (c) 2020 Acta Médica Portuguesa
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rights_invalid_str_mv Direitos de Autor (c) 2020 Acta Médica Portuguesa
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dc.publisher.none.fl_str_mv Ordem dos Médicos
publisher.none.fl_str_mv Ordem dos Médicos
dc.source.none.fl_str_mv Acta Médica Portuguesa; Vol. 33 No. 4 (2020): April; 282-284
Acta Médica Portuguesa; Vol. 33 N.º 4 (2020): Abril; 282-284
1646-0758
0870-399X
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