title: Unilateral, circumscribed, chronic dermatitis of the papillary-areolar complex: case report and review of the literature.
abstract: Lichen simplex chronicus is a well-described, common pruritic disorder resulting from repeated rubbing and scratching. Typically, only one site is involved. When this site involves the papillary-areolar complex of one breast, the condition is termed unilateral, circumscribed, chronic dermatitis of the papillary-areolar complex. A patient with this uncommon condition is herein reported, and the literature, including a discussion of the differential diagnosis, is reviewed. An aggressive approach to the work-up of such a patient is recommended, to ensure accurate diagnosis and initiation of appropriate therapy.
authors.affiliation: Department of Dermatology, Mount Sinai School of Medicine, Box 1048, One East 100th Street, New York, NY 10029, USA.
authors.forename: N L
authors.initials: NL
authors.lastname: Novick
mesh_terms: D000328:Adult; D001941:Breast Diseases / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology*; D001943:Breast Neoplasms / Q000175:diagnosis; D017449:Dermatitis, Allergic Contact / Q000175:diagnosis; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D009450:Neurodermatitis / Q000175:diagnosis / Q000188:drug therapy / Q000473:pathology*; D012871:Skin Diseases / Q000175:diagnosis