[Skip to Content]
[Skip to Content Landing]
Views 331
Citations 0
Off-Center Fold
May 2012

A 26-Year-Old Man With an Eczematous Lesion on the Nipple—Quiz Case

Author Affiliations
 

SECTION EDITOR: MARY S. STONE, MD; ASSISTANT SECTION EDITORS: SOON BAHRAMI, MD; CARRIE ANN R. CUSACK, MD;c SENAIT W. DYSON, MD; MOLLY A. HINSHAW, MD; ARNI K. KRISTJANSSON, MD

Arch Dermatol. 2012;148(5):641-646. doi:10.1001/archderm.148.5.641-b

A 26-year-old white man presented with a 4-month history of an eczematous pruritic lesion on his nipple and areola. The patient had atopic dermatitis since infancy.

Physical examination revealed a well-defined, erythematous, and edematous plaque with numerous vascular points on the surface (Figure 1). Because the lesion showed the clinical appearance of eczema, it was treated with topical steroid without clinical improvement and later with systemic antibiotics for possible bacterial superinfection. A skin biopsy was performed for histopathologic examination (Figure 2) with periodic acid–Schiff staining (Figure 3).

First Page Preview View Large
First page PDF preview
First page PDF preview
×