Lipodystrophia centrifugalis abdominals infantilis presenting as a giant ulceration and treatment with hydroxychloroquine and baricitinib

Summary Lipodystrophia centrifugalis abdominalis infantilis (LCAI) is a localised atrophic disease. It is characterised by a depression with a periphery of erythema present on the lower abdomen and/or the groin region, axilla or neck. The depressed lesions could enlarge centrifugally to the neighbouring areas. Ulceration is a rare manifestation of this disease. In this study, we reported a case of LCAI presented with recurrent giant ulcerations on the abdomen, and was eventually successfully treated with hydroxychloroquine and baritinib.