Subject(s)
Adenoma/diagnosis , Adenoma/surgery , Breast Neoplasms/diagnosis , Breast Neoplasms/surgery , Erythema/diagnosis , Erythema/surgery , Papilloma/diagnosis , Papilloma/surgery , Adenoma/complications , Aged , Breast Neoplasms/complications , Diagnosis, Differential , Erythema/complications , Female , Humans , Nipples/pathology , Nipples/surgery , Papilloma/complicationsABSTRACT
Leprosy is one of the causes of gynaecothelia (enlargement of nipples), however little has been published about this common but usually ignored sign. Herein, we report nine male patients with multibacillary leprosy who had gynaecothelia although only two of them had associated gynaecomastia. None of these patients was aware of gynaecothelia until it was detected by the treating doctor during examination. This study is presented to highlight this common but ignored sign, which may occur specifically in multibacillary leprosy.
Subject(s)
Leprosy, Multibacillary/diagnosis , Leprosy, Multibacillary/pathology , Nipples/pathology , Adult , Gynecomastia/pathology , Humans , Male , Middle AgedABSTRACT
A 23-year-old young woman presented with recurrent episodes of painful bruising along with linear erosions on the accessible areas of the body of nine years duration with a pseudo-ainhum of her left nipple for the past three months. Her case history included repeated visits to various physicians at different centers and an extensive investigative profile. A diagnosis of autoerythrocyte sensitization was made on the basis of the clinical history, dermatological examination complemented by a positive autoerythrocyte sensitization test, psychiatric evaluation and absence of any organic cause for her ailment. She was placed on psychiatric management and has remained symptom-free after six months follow-up. The case is reported for its rarity, as well as for the association of autoerythrocyte sensitization syndrome with frank dermatitis artefacta and pseudo-ainhum, which to the best of our knowledge has not yet been reported in the literature.
Subject(s)
Autoimmune Diseases/diagnosis , Dermatitis/diagnosis , Dermatitis/psychology , Erythrocytes/immunology , Purpura/diagnosis , Purpura/psychology , Adult , Autoimmune Diseases/complications , Autoimmune Diseases/psychology , Dermatitis/complications , Female , Humans , Nipples/pathology , Psychophysiologic Disorders/complications , Psychophysiologic Disorders/diagnosis , Psychophysiologic Disorders/psychology , Purpura/complications , SyndromeABSTRACT
Nevoid hyperkeratosis of the nipple and areola is an unusual condition. Two female patients aged 31 and 18 years presented with chronic unilateral warty lesions of the nipple. One patient had difficulty in breastfeeding from the affected side. A skin biopsy showed acanthosis, hyperkeratosis, papillomatosis and lymphocytic infiltrate in the dermis. There was no significant improvement with topical tretinoin cream in both the patients.