A 2-year-old boy was admitted to our clinic for umbilicated
papules around the right eye and on the right eyelid.
Re-examination on June 28 revealed 11 umbilicated
lesions: eight previously noted on the penis, one previously noted on the arm, and two new lesions on the groin.
Within days, umbilicated
lesions covered more than 50% of the child's body and he required mechanical ventilation.
papules regressing into broad shallow cup-shaped epidermal invaginations.
The cutaneous lesions are vesicopustular, may be umbilicated
, and have a hemorrhagic crust.
A bad Xerox: complexion an eraser-smudge grey; hair in umbilicated
cornrows, lips a piebald swirl--pink and brown.
Eutrephoceras perlatus (Morton 1834) from the Cretaceous Prairie Bluff Chalk of Alabama is similar in size and suture, but is not an umbilicated
species, as are the Ozan Formation individuals.
After a consecutive treatment for totally 7 months, the patient came back with acute febrile painful facial eruptions with multiple monomorphic, umbilicated
grouped vesicular lesions on the cheeks and lower lip [Figure 1]a-c.
O/E: Multiple, discrete, mildly tender, umbilicated
papules and nodules distributed over face, trunk, upper limbs and genitals.
Of note, she also had multiple umbilicated
and verrucous papules scattered over her body.
Clinically it consists of small horny or umbilicated
papules arranged in a linear, arciform, circular, or serpiginous pattern (1).
The presence on the body of lesions with the characteristic deep-seated, umbilicated
appearance and in a centrifugal distribution of smallpox lesions immediately prompted concern for unearthed smallpox (Figure 2).