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An erosive plaque of the right nipple

A 58-year-old woman with a past medical history of hypercholesterolemia was referred to our department for an erosive and crusty plaque of the right nipple in the last 2 months. There was no family history of breast cancer. Examination of the right breast revealed a crusty and erosive plaque of the right nipple areola complex (Fig. 1a). There were no signs of nipple retraction. There was no lymphadenopathy, and the left breast was normal. Dermoscopy of the right nipple was performed using Dermlite DL4 revealing white and yellow scales, ulceration, pink and white structureless areas, white shiny lines, and dotted vessels (Fig. 1b).