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Clinical Quiz Sept 2021

A 74-year-old woman who complained of persistent itchy rash over left nipple and peri-areolar area for about 6 months

Sze-man Wong

Readers are invited to participate in the Clinical Quiz*. Simply answer the question, fill in the reply slip and return it to the College by 17 November 2021. Each reader is allowed to submit one entry only. The name of the winner and the answer will be published in the December 2021 issue.

*Note: There would be no prize award for this issue while sponsorship for Clinical Quiz has been ended in September 2020 issue. The answer of the Clinical Quiz for this issue will be announced in the next issue. Thank you for your support.


Clinical history:

A 74-year-old woman complained of persistent itchy rash over left nipple and peri-areolar area for about 6 months. She was told to have ‘eczema’. However, she noted that the lesions progressively increased in size with discoloration and occasional oozing, despite topical corticosteroid cream applied. She did not have other skin problem.


What is the most likely clinical diagnosis?

A. Eczema
B. Paget’s disease of nipple
C. Superficial Basal cell carcinoma
D. Malignant Melanoma

Answer:
B. Paget’s disease of nipple

N/A
The slide and the question were prepared by:
Dr Sze-man Wong, MBBS, MRCP(UK), MSc(London), FHKCP, FHKAM
Associate Consultant,
Division of Dermatology, Department of Medicine, Queen Mary Hospital, Hong Kong SAR.

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