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January 2010

Erythematous Erosive Patch on the Left Nipple—Quiz Case

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Copyright 2010 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2010

Arch Dermatol. 2010;146(1):81-86. doi:10.1001/archdermatol.2009.335-a

A 56-year-old man presented with a 1-month history of erosive changes of the left nipple. The lesions consisted of a 2 × 2-cm erythematous erosive patch on the nipple with ipsilateral lymphadenopathy (Figure 1). The patient reported no pruritic symptoms or pain. In the breast clinic, fine needle aspiration of an enlarged lymph node was performed and showed only lymphadenitis. The patient's medical history was noncontributory. Skin biopsy findings are shown in Figure 2 and Figure 3.