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Suggest Treatment For Dermatitis Lesion Over Areola With Scabbing And Oozing Fluid

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Posted on Thu, 14 Jul 2016
Question: My areola is leaking a fluid. It started off as one small dry spot the dry spot grew then started flaking next started leaking/oozing. It's not an infection because antibiotics didn't work (even though I thought it was but after 10 days it wasn't healed) it's not cancer because I had a biopsy. Now the sample they took from my breast has been sent off and I won't know anything for a month. The nipple doesn't leak just the growth on the areola. Doctors don't know what it could be and I need any input that I can give to them for my next appointment.
doctor
Answered by Dr. Sameer Kumar (30 minutes later)
Brief Answer:
possible lichen simplex chronicus

Detailed Answer:
Hello,
Thanks for the query to hcm for an opinion,
This seems like a dermatitis lesion that's been developed over areola with scabbing and oozing. Lichen simplex chronicus usually presents in such manner and occurs at places where one chronically scratches, fractionate or picks on. Nevertheless please send a picture of the lesion for a proper diagnosis as lichen chronic is just a differentia based on your description.
Regards
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
doctor
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Follow up: Dr. Sameer Kumar (43 minutes later)
Thank you, here are several pictures of the lesion.
doctor
Answered by Dr. Sameer Kumar (11 minutes later)
Brief Answer:
answered

Detailed Answer:
Hello,
This seems like lichen simplex chronicus typical and unlike a bacterial infection. This ideally should be treated with a steroid application thrice a day and itching and scratching over the lesion should be avoided.This Lichen Simplex Chronicus is not a disease but a response by the skin from any physical trauma. This disease will start from anything that scratches or irritates the skin and it will cause an individual to rub the affected area that will result in constant scratches that will make the skin to be thickened and the thickened area will cause more scratching that will add up to the thickening of the skin. The thickened skin can eventually become leathery and brownish.
Continuous scratching may turn it into an eczema and can lead to oozing as well, which is probably what has happened. Nevertheless the histology report shall confirm the diagnosis further. You may discuss the option of using steroid over the lesion with your doctor and take an informed decision.
Regards
Note: Revert back with your gynae reports to get a clear medical analysis by our expert Gynecologic Oncologist. Click here.

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
Dr.
Dr. Sameer Kumar

OB and GYN Specialist

Practicing since :2002

Answered : 1782 Questions

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Suggest Treatment For Dermatitis Lesion Over Areola With Scabbing And Oozing Fluid

Brief Answer: possible lichen simplex chronicus Detailed Answer: Hello, Thanks for the query to hcm for an opinion, This seems like a dermatitis lesion that's been developed over areola with scabbing and oozing. Lichen simplex chronicus usually presents in such manner and occurs at places where one chronically scratches, fractionate or picks on. Nevertheless please send a picture of the lesion for a proper diagnosis as lichen chronic is just a differentia based on your description. Regards