Erosive adenomatosis of the nipple masquerading as Paget's disease
A 23-year-old unmarried woman presented with history of oozing of serous and very rarely sanguineous discharge from right nipple for more than a year. There was no definite history of exacerbation in relation with menstrual cycles, which were normal. There was no family history of similar illness or carcinoma of breast. On examination, the skin over the nipple was rough and thickened with erosion and superficial fissuring []. The examination of the breasts and regional nodes were normal. The ultrasonogram done after a course of antibiotics was normal. She was diagnosed with EAN and treated with antibiotics and short-term mild topical steroids with remission but was not sustained. When she saw discharge of frank blood, the alarmed patient sought opinion from various specialists and was advised mastectomy by some of them. A biopsy of the nipple was performed, which showed features of EAN [Figures and ]. Being an unmarried girl, radiofrequency is being planned rather than excising the nipple. She will be followed up regularly for recurrence if any.