title: Treatment of nevoid hyperkeratosis of the nipple and areola by shave excision.
abstract: The case is presented of a 29-year-old female who, at the age of 13 years, developed bilateral verrucous thickening of her areolae. Despite the condition causing her significant psychosocial morbidity, a specialist referral was initially denied on the grounds that no treatment was apparently available. The condition progressively deteriorated over the subsequent 14 years. She was eventually referred for a dermatology opinion, and the diagnosis of nevoid hyperkeratosis was made. Topical therapy with keratolytics was unsuccessful, and she was referred for a plastic surgery review. Bilateral shave excision of the lesion was performed under general anesthesia, with a satisfactory outcome and no evidence of recurrence at 10 months.
authors.affiliation: Department of Plastic and Reconstructive Surgery, Radcliffe Infirmary, Oxford, United Kingdom. marc.swan@surgery.ox.ac.uk
authors.forename: Marc C
authors.initials: MC
authors.lastname: Swan
authors.forename: Stephen E
authors.initials: SE
authors.lastname: Gwilym
authors.forename: Kevin
authors.initials: K
authors.lastname: Hollowood
authors.forename: Vanessa
authors.initials: V
authors.lastname: Venning
authors.forename: Oliver
authors.initials: O
authors.lastname: Cassell
mesh_terms: D000328:Adult; D001941:Breast Diseases / Q000601:surgery*; D005260:Female; D006801:Humans; D007642:Keratosis / Q000601:surgery*; D009558:Nipples