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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.

Original publication

DOI

10.1097/01.sap.0000120311.18732.a3

Type

Journal article

Journal

Annals of plastic surgery

Publication Date

11/2004

Volume

53

Pages

510 - 512

Addresses

Department of Plastic and Reconstructive Surgery, Radcliffe Infirmary, Oxford, United Kingdom. marc.swan@surgery.ox.ac.uk

Keywords

Nipples, Humans, Breast Diseases, Keratosis, Adult, Female