AI Article Synopsis

  • - Nevoid hyperkeratosis of the nipple and areola (NHKNA) is a rare skin condition, especially in its type II form, which can develop from irritant skin conditions like erosive papulonodular dermatitis that occurs in areas prone to friction and moisture.
  • - The case discussed involves a patient who had previously suffered from erosive papulonodular dermatitis after undergoing an ileostomy, later showing classic signs of NHKNA, which were confirmed through clinical and histological analysis.
  • - Treatment for type II NHKNA usually involves addressing the underlying skin issue; in this instance, reversing the ileostomy and implementing barrier protection successfully resolved the patient's NHKNA lesions.

Article Abstract

Introduction: Nevoid hyperkeratosis of the nipple and areola (NHKNA) is a rare cutaneous entity with a distinct clinical and histological presentation. The type II form of this condition can result from various dermatoses, such as irritant contact dermatitis. Erosive papulonodular dermatitis is a chronic irritant dermatitis that often occurs in areas of occlusion and maceration, such as peristomal skin. Pseudoverrucous papules and nodules are a variant of erosive papulonodular dermatitis and have a non-specific histologic pattern of reactive hyperplasia.

Case Presentation: We present a case of a patient with resolved peristomal erosive papulonodular dermatitis who presented status-post ileostomy reversal with clinical and histologic findings classically seen in NHKNA.

Conclusion: In type II NHKNA, treatment of the primary dermatosis typically leads to resolutions. In the case of our patient, removal of the offending agent via colostomy reversal and barrier protection led to the resolution of the lesions.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10332379PMC
http://dx.doi.org/10.36518/2689-0216.1336DOI Listing

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Article Synopsis
  • - Nevoid hyperkeratosis of the nipple and areola (NHKNA) is a rare skin condition, especially in its type II form, which can develop from irritant skin conditions like erosive papulonodular dermatitis that occurs in areas prone to friction and moisture.
  • - The case discussed involves a patient who had previously suffered from erosive papulonodular dermatitis after undergoing an ileostomy, later showing classic signs of NHKNA, which were confirmed through clinical and histological analysis.
  • - Treatment for type II NHKNA usually involves addressing the underlying skin issue; in this instance, reversing the ileostomy and implementing barrier protection successfully resolved the patient's NHKNA lesions.
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