Schneiderman Prelims Vol-I. qxd

UMBILICAL LESIONS
AUTOIMMUNE DISEASES, AND DISEASES
OF IMMUNE DYSFUNCTION
Allergic contact dermatitis – medications 
Rook p.3164, 1998,
Sixth Edition; nickel allergic contact dermatitis with periumbilical
dermatitis in children 
Ped Derm 19:106–109, 2002
Bullous pemphigoid 
Rook p.3165, 1998, Sixth Edition
Cicatricial pemphigoid 
Rook p.3165, 1998, Sixth Edition
Herpes (pemphigoid) gestationis 
JAAD 40:847–849, 1999;
JAAD 17:539–556, 1987; Clin Exp Dermatol 7:65–73, 1982
UMBILICAL LESIONS
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Schneiderman page 600-722.qxd 5/16/2006 6:51 PM Page 667

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Linear IgA disease
Morphea
Pemphigoid vegetans 
AD 115:446–448, 1979
Pemphigus foliaceus 
Cutis 63:271–274, 1999; Dermatologica
180:102–105, 1990
Pemphigus vulgaris
CONGENITAL LESIONS
AD 90:160, 1964
Associated anomalies of GU/GI tract
Associated fistulas
Choristia, periumbilical – intestinal mucosal cells; crusted,
red perimbilical plaques 
Ann DV 105:601–606, 1978
Congenital band
Embryologic rests 
AD 123:105–110, 1987
Umbilical hernia – omphalocele 
Postgrad Med 57:635–639,
1981; herniation of umbilical cord Rook p.3164, 1998,
Sixth Edition
Granulation tissue
Omphalomesenteric duct remnants – cutaneous remnants of
the omphalomesenteric duct – completely patent duct – red
nodule with a fistula with fecal discharge or intestinal prolapse
Am J Surg 88:829–834, 1954; patent peripheral portion – red,
polypoid nodule (ectopic gastrointestinal mucosa) (umbilical
polyp); discharges mucus; resemble prolapsed urachal mucosa
and talc granuloma; fistulae, cysts 
Ped Derm 4:341–343, 1987;
AD 90:463–470, 1964
Patent urachal duct 
AD 90:160–165, 1964
Persistent vascular anomalies
Persistent vitelline duct and polyp – fecal or mucoid discharge
Dermatologica 150:111–115, 1975
Prolapsed urachal mucosa
Umbilical granuloma – most common umbilical mass 
Textbook
of Neonatal Dermatology, p.95,132, 2001
Urachal and vascular abnormalities (ectopic transitional
epithelium of bladder) – urachal remnants with cyst, sinus, or
fistula 
Textbook of Neonatal Dermatology, p.132, 2001; Cutis
62:83–84, 1998; complete patency of the urachus – urine
emanating from umbilicus; nodule 
Ped Clin N Am 6:1085–1116,
1959; urachal cyst (partial patency of the urachus) – tender
midline swellings between the umbilicus and symphysis pubis
Br J Urol 28:253–256, 1956; urachal sinus
Yolk sac remnant – umbilico-ileal fistula