“Neglected nipples”: acanthosis nigricans-like plaques caused by avoidance of nipple cleansing

Background: Acanthosis nigricans (AN) develops sporadically or in association with obesity, insulin-resistance and dark pigmentary phenotype. Unusual clinical presentations of AN may be diagnostically vexing. Objectives: The aim of the report is to present unusual clinical and dermoscopic pictur...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Grazyna Kaminska-Winciore, Jerzy Wydmanski, Alon Scope, Giuseppe Argenziano, Iris Zalaudek
Formato:	article
Lenguaje:	EN
Publicado:	Mattioli1885 2014
Materias:	neglected nipples acanthuses nigerians-like hyperkeratosis nipple hygeine dermoscopy dermatoscopy Dermatology RL1-803
Acceso en línea:	https://doaj.org/article/ce0e400619574ba6a5af2ae79884ec2d
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:ce0e400619574ba6a5af2ae79884ec2d
record_format	dspace
spelling	oai:doaj.org-article:ce0e400619574ba6a5af2ae79884ec2d2021-11-17T08:32:02Z“Neglected nipples”: acanthosis nigricans-like plaques caused by avoidance of nipple cleansing10.5826/dpc.0403a172160-9381https://doaj.org/article/ce0e400619574ba6a5af2ae79884ec2d2014-07-01T00:00:00Zhttp://dpcj.org/index.php/dpc/article/view/813https://doaj.org/toc/2160-9381 Background: Acanthosis nigricans (AN) develops sporadically or in association with obesity, insulin-resistance and dark pigmentary phenotype. Unusual clinical presentations of AN may be diagnostically vexing. Objectives: The aim of the report is to present unusual clinical and dermoscopic pictures of hyperkeratotic, brownish lesions of the nipples resembling acanthosis nigricans. Patients/Methods: Data including clinical and dermoscopic features of two patients with the “neglected nipples”: acanthosis nigricans-like (AN-like) hyperpigmented plaques caused by avoidance of nipple cleansing. Results: Beside the anamnestic clue, presentation of AN-like plaques in the “neglected nipples” is limited to the breasts, in the absence of involvement of other flexural sites classically affected by AN.Dermoscopy aids the exclusion of a tumor, as it reveals exclusively structureless, brown-gray-black hyperkeratosis in the absence of criteria associated with melanocytic or non-melanocytic skin neoplasms of the nipple. The “neglected breasts” are easily treated by keratolytic creams and hygiene. Conclusions: The “neglected nipples” condition, presenting as bilateral AN-like papules and plaques of the nipples, is due to avoidance of cleansing of the nipple area, resulting in accumulation of keratotic cellular debris. Grazyna Kaminska-WincioreJerzy WydmanskiAlon ScopeGiuseppe ArgenzianoIris ZalaudekMattioli1885articleneglected nipplesacanthuses nigerians-likehyperkeratosisnipple hygeinedermoscopydermatoscopyDermatologyRL1-803ENDermatology Practical & Conceptual (2014)
institution	DOAJ
collection	DOAJ
language	EN
topic	neglected nipples acanthuses nigerians-like hyperkeratosis nipple hygeine dermoscopy dermatoscopy Dermatology RL1-803
spellingShingle	neglected nipples acanthuses nigerians-like hyperkeratosis nipple hygeine dermoscopy dermatoscopy Dermatology RL1-803 Grazyna Kaminska-Winciore Jerzy Wydmanski Alon Scope Giuseppe Argenziano Iris Zalaudek “Neglected nipples”: acanthosis nigricans-like plaques caused by avoidance of nipple cleansing
description	Background: Acanthosis nigricans (AN) develops sporadically or in association with obesity, insulin-resistance and dark pigmentary phenotype. Unusual clinical presentations of AN may be diagnostically vexing. Objectives: The aim of the report is to present unusual clinical and dermoscopic pictures of hyperkeratotic, brownish lesions of the nipples resembling acanthosis nigricans. Patients/Methods: Data including clinical and dermoscopic features of two patients with the “neglected nipples”: acanthosis nigricans-like (AN-like) hyperpigmented plaques caused by avoidance of nipple cleansing. Results: Beside the anamnestic clue, presentation of AN-like plaques in the “neglected nipples” is limited to the breasts, in the absence of involvement of other flexural sites classically affected by AN.Dermoscopy aids the exclusion of a tumor, as it reveals exclusively structureless, brown-gray-black hyperkeratosis in the absence of criteria associated with melanocytic or non-melanocytic skin neoplasms of the nipple. The “neglected breasts” are easily treated by keratolytic creams and hygiene. Conclusions: The “neglected nipples” condition, presenting as bilateral AN-like papules and plaques of the nipples, is due to avoidance of cleansing of the nipple area, resulting in accumulation of keratotic cellular debris.
format	article
author	Grazyna Kaminska-Winciore Jerzy Wydmanski Alon Scope Giuseppe Argenziano Iris Zalaudek
author_facet	Grazyna Kaminska-Winciore Jerzy Wydmanski Alon Scope Giuseppe Argenziano Iris Zalaudek
author_sort	Grazyna Kaminska-Winciore
title	“Neglected nipples”: acanthosis nigricans-like plaques caused by avoidance of nipple cleansing
title_short	“Neglected nipples”: acanthosis nigricans-like plaques caused by avoidance of nipple cleansing
title_full	“Neglected nipples”: acanthosis nigricans-like plaques caused by avoidance of nipple cleansing
title_fullStr	“Neglected nipples”: acanthosis nigricans-like plaques caused by avoidance of nipple cleansing
title_full_unstemmed	“Neglected nipples”: acanthosis nigricans-like plaques caused by avoidance of nipple cleansing
title_sort	“neglected nipples”: acanthosis nigricans-like plaques caused by avoidance of nipple cleansing
publisher	Mattioli1885
publishDate	2014
url	https://doaj.org/article/ce0e400619574ba6a5af2ae79884ec2d
work_keys_str_mv	AT grazynakaminskawinciore neglectednipplesacanthosisnigricanslikeplaquescausedbyavoidanceofnipplecleansing AT jerzywydmanski neglectednipplesacanthosisnigricanslikeplaquescausedbyavoidanceofnipplecleansing AT alonscope neglectednipplesacanthosisnigricanslikeplaquescausedbyavoidanceofnipplecleansing AT giuseppeargenziano neglectednipplesacanthosisnigricanslikeplaquescausedbyavoidanceofnipplecleansing AT iriszalaudek neglectednipplesacanthosisnigricanslikeplaquescausedbyavoidanceofnipplecleansing
_version_	1718425700932780032

“Neglected nipples”: acanthosis nigricans-like plaques caused by avoidance of nipple cleansing

Ejemplares similares