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Unusual scars in a young female patient
  1. J E Lai Cheong,
  2. S M Rajpara,
  3. R M Azurdia
  1. Department of Dermatology, Royal Liverpool and Broadgreen University Hospital NHS Trust, Liverpool, UK
  1. Correspondence to:
 Dr J E Lai Cheong
 Department of Dermatology, Royal Liverpool and Broadgreen University Hospital NHS Trust, Thomas Drive, Liverpool L14 3LB, UK; jelai_cheonghotmail.com

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A 36 year old woman was seen in the dermatology department because of a mole on her back. On examination, she had an 8 mm uniformly pigmented lesion with regular margin and texture on her midback, which clinically was a benign naevus. The skin was also soft and hyperextensible, with a velvety appearance (fig 1). She also had extensive scars on her legs, forehead, arms, and back (fig 2), which developed after a viral illness when she was 10 years old. She was being treated by the rheumatologist for joint subluxation. She had one daughter who was similarly affected.

Figure 1

 Soft and hyperextensible skin with a velvety appearance.

Figure 2

 Multiple prominent scars across the back.

QUESTIONS

  • What other signs and symptoms would she present with?

  • What could be the cause of scars across her back?

  • What is the diagnosis?

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