title: Symmetrical hypopigmentation of the nipples secondary to trauma.
abstract: Deviant sexual behavior may lead to unusual skin lesions. The following is a case report of unusual trauma-related, symmetrical lesions of the nipples in a male homosexual from repeated application of bondage apparatus to his areolae and nipples.
mesh_terms: D001940:Breast / Q000293:injuries*; D006801:Humans; D008297:Male; D008875:Middle Aged; D009558:Nipples / Q000293:injuries*; D010262:Paraphilic Disorders / Q000150:complications; D010859:Pigmentation Disorders / Q000209:etiology*; D012652:Self Mutilation; D013405:Suicide