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Is severe itchiness in the nipples associated with Paget's disease?

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Posted on Mon, 24 Dec 2018
Question: Hi, for the past year 1/2 I've had itchy nipples(mainly me left). At first I tried hydrocortisone but didn't help so I went to the doctor. They took a picture of them and sent it to a dermatologist, who said it was nipple Dermatitis. They gave me some cream for it which seems to help, but can come back maybe once per month. I was reading up about Paget's disease and was concerned that I might have it (I tend to worry a lot about my health).I also noticed that one of my nipples was a slightly different shape to the other as if it's fatter or swollen where the Eczema usually is. I've provided pictures with explaination. Thanks in advance,
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Answered by Dr. Asmeet Kaur Sawhney (2 hours later)
Brief Answer:
Doesn't look like Paget's disease

Detailed Answer:

Hi,


I have gone through your complaints and reviewed the attached photographs.

I can appreciate some change in the appearance of both the breasts but it doesn't seem to be Paget's disease.

It seems you are having nipple dermatitis only and that's why that change in one nipple on the site of eczema.

Paget's disease doesn't respond to steroids and presents with erythematous crusted and scaly plaques.

Nipple dermatitis is a chronic disease and that's why you are having a recurrence.

I hope this information relieves your anxiety.

Regards.
Above answer was peer-reviewed by : Dr. Kampana
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Follow up: Dr. Asmeet Kaur Sawhney (10 hours later)
Hi, thanks for the response! When the eczema is gone, that part of my nipple still feels quiet dry, the doctor said that I shouldn't use a moisturizer with the cream because they will counteract each other. I was just wondering if there was anything that I could put on it to stop it being as dry. I was also wondering why the nipple would still look different even when the eczema appears to have gone. Thank you :)
doctor
Answered by Dr. Asmeet Kaur Sawhney (1 hour later)
Brief Answer:
Apply moisturising cream containing white soft paraffin

Detailed Answer:

Hi,

You should apply a moisturising cream containing white soft paraffin to the entire affected area 2-3 times during the day.
The nipple is looking different even now because of the post inflammatory changes after eczema.

Hope this helps you.

Regards,
Dr. Asmeet Kaur Sawhney, Dermatologist
Above answer was peer-reviewed by : Dr. Raju A.T
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Dr. Asmeet Kaur Sawhney

Dermatologist

Practicing since :2007

Answered : 5006 Questions

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Is severe itchiness in the nipples associated with Paget's disease?

Brief Answer: Doesn't look like Paget's disease Detailed Answer: Hi, I have gone through your complaints and reviewed the attached photographs. I can appreciate some change in the appearance of both the breasts but it doesn't seem to be Paget's disease. It seems you are having nipple dermatitis only and that's why that change in one nipple on the site of eczema. Paget's disease doesn't respond to steroids and presents with erythematous crusted and scaly plaques. Nipple dermatitis is a chronic disease and that's why you are having a recurrence. I hope this information relieves your anxiety. Regards.