Granuloma Inframammary Adultorum | Allergy and Clinical Immunology | JAMA Dermatology | JAMA Network
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October 2014

Granuloma Inframammary Adultorum

Author Affiliations
  • 1Department of Dermatology, Marshfield Clinic–Saint Joseph’s Hospital, Marshfield, Wisconsin
  • 2Department of Pathology, Marshfield Clinic–Saint Joseph’s Hospital, Marshfield, Wisconsin
JAMA Dermatol. 2014;150(10):1113-1115. doi:10.1001/jamadermatol.2014.352

Granuloma inframammary adultorum represents a variant of erosive papulonodular dermatosis (EPND) with predominant clinical components of papules and nodules. We describe herein a patient who presented with worsening skin lesions.

A woman in her 60s with a history of inverse psoriasis presented with 2 months of “draining sores” under her breasts. Prior to the development of the sores, she had experienced a progressive burning sensation and tenderness in the affected areas and had been self-treating the inframammary skin with betamethasone valerate, 0.1%, ointment. Physical examination revealed foul-smelling, well-demarcated, erythematous, macerated plaques with multiple eroded reddish-purple papules and nodules beneath her pendulous breasts extending onto her upper abdomen with areas resembling granulation tissue (Figure, A).