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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).
Chacón GR, Green CB, Kim SL, Stratman EJ. Granuloma Inframammary Adultorum. JAMA Dermatol. 2014;150(10):1113–1115. doi:10.1001/jamadermatol.2014.352
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