title: A 75-year-old female with ulceration of breast skin.
abstract: An elderly female presented to a North Carolina wound care center (Sandhills Center for Wound Healing and Hyperbaric Medicine, Hamlet, NC) with ulcerative lesions of both breasts. After a thorough investigation, an Internet search yielded a list of possible causes, of which candidiasis exacerbated by friction seemed the most likely diagnosis. However, a biopsy diagnosed bullous pemphigoid. This reinforces the point that a biopsy of an unusual lesion is a valuable diagnostic tool to investigate suspected malignancy, wounds in unusual locations or with unusual appearance, and wounds not responding to treatment.
authors.affiliation: Sandhills Regional Medical Center and Sandhills Center for Wound Healing and Hyperbaric Medicine, Hamlet, NC; email:alan.coulson@hma.com.
authors.forename: Alan S
authors.initials: AS
authors.lastname: Coulson
authors.affiliation: Sandhills Regional Medical Center and Sandhills Center for Wound Healing and Hyperbaric Medicine, Hamlet, NC.
authors.forename: Janet E
authors.initials: JE
authors.lastname: Harris-Hicks