Bilateral clear cell acanthoma of the areola and nipple: good response to topical corticosteroids

Abstract: Clear cell acanthoma is a rare, epidermal tumor not common in the area of the nipples; indeed, the literature describes only 8 cases, all showing unilateral presentation. We here report the first case of bilateral clear cell acanthoma with good response to topical corticosteroids. Case rep...

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Bibliographic Details
Main Authors: Elena González-Guerra (Author), Jorge Ruiz Rodriguez (Author), Alejandro Fueyo Casado (Author), Alberto Conde Taboada (Author), Jose Antonio Cortes Toro (Author), Eduardo Lopez Bran (Author)
Format: Book
Published: Sociedade Brasileira de Dermatologia, 2017-01-01T00:00:00Z.
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Summary:Abstract: Clear cell acanthoma is a rare, epidermal tumor not common in the area of the nipples; indeed, the literature describes only 8 cases, all showing unilateral presentation. We here report the first case of bilateral clear cell acanthoma with good response to topical corticosteroids. Case report: A sixteen-year old girl presented with 2 excrescent, fleshy, and exudative tumor masses in both nipples and areola mammae. A biopsy was conducted and confirmed clear cell acanthoma histopathologically. Treatment with strong corticosteroids resulted in rapid improvement and resolution. After one year of follow-up, the patient developed atopic dermatitis. Discussion: We describe the first case of bilateral clear cell acanthoma localized in the nipple/areola that resolved with powerful corticosteroids, suggesting a reactive etiology of the lesion.
Item Description:0365-0596
10.1590/abd1806-4841.20175683