Perforating calcific elastosis (also known as "Localized acquired cutaneous pseudoxanthoma elasticum," "Perforating periumbilical calcific elastosis,"[1] and "Periumbilical perforating pseudoxanthoma elasticum") is an acquired, localized cutaneous disorder, most frequently found in obese, multiparous, middle-aged women, characterized by lax, well-circumscribed, reticulated or cobble-stoned plaques occurring in the periumbilical region with keratotic surface papules.[2]