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
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).
Nazzaro G, Coggi A, Gianotti R. A 26-Year-Old Man With an Eczematous Lesion on the Nipple—Quiz Case. Arch Dermatol. 2012;148(5):641-646. doi:10.1001/archderm.148.5.641-b