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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can Ketoconazole Be Used To Treat A Black Spot On The Areola Of The Breast?

Hello
My mom is 84 year old and she got a black spot on her left breast on the areola that is very itchy. A doctor said it is fungus and prescribed Ketoconazole cream 2%. Does it sound right to you? I did some researches and found that Ketoconazole is used to treat some skin condition under the breast but it doesn't mention the areola. What is your opinion? Thank you/Sonia
Mon, 2 Jun 2014
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Geriatrics Specialist 's  Response
Hi Sonia,

Ketoconazole is a antifungal cream and it works well if it is a fungal infection. Fungal infection usually occurs in wet areas. Lesion size is not mentioned so difficult to comment on the type of lesion. If the lesion is present since a shorter period, nothing to worry. Treatment can be continued and recovery should occur. If the lesion is present since a long time and itching increases or lesion size increases or no recovery occurs, other diagnosis needs to be thought of.
If it persists, advise biopsy to rule out any other inflammatory or tumor lesions.
Hope I have answered your query. If you have any further query, I will be happy to help.
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Can Ketoconazole Be Used To Treat A Black Spot On The Areola Of The Breast?

Hi Sonia, Ketoconazole is a antifungal cream and it works well if it is a fungal infection. Fungal infection usually occurs in wet areas. Lesion size is not mentioned so difficult to comment on the type of lesion. If the lesion is present since a shorter period, nothing to worry. Treatment can be continued and recovery should occur. If the lesion is present since a long time and itching increases or lesion size increases or no recovery occurs, other diagnosis needs to be thought of. If it persists, advise biopsy to rule out any other inflammatory or tumor lesions. Hope I have answered your query. If you have any further query, I will be happy to help.