Clear cell acanthoma of the areola and nipple: clinical, histopathological, and immunohistochemical features of two Brazilian cases*

Author:

Veiga Rossana Ruth Garcia da1,Barros Renata Silva2,Santos Josie Eiras Bisi dos2,Abreu Junior José Maria de Castro3,Bittencourt Maraya de Jesus Semblano2,Miranda Mario Fernando Ribeiro de3

Affiliation:

1. Federal University of Pará (Universidade Federal do Pará - UFPA), Brazil

2. MD, Dermatologist - Private Practitioner, Brazil

3. Federal University of Pará (UFPA), Brazil

Abstract

Clear cell acanthoma or Degos' acanthoma is a distinct disease concerning its clinical, histopathological, and immunohistochemical features. Its pathologic nature - whether neoplastic or reactive - is still under dispute among researchers. The disease shows a chronic course and often presents with a single papulonodular lesion on the lower limbs of adults. However, cases with multiple lesions, sometimes occurring in an eruptive fashion, and with clear variation in the size and shape of the cutaneous lesions have been reported. So far, five cases in which the lesions were exclusively located in the nipple area have been reported, all in Korean women. Four of these cases mimicked eczema and one, a polypoid nodule. The aim of this article is to present clinical, histopathological, and immunohistochemical features of two additional cases in Brazilian women with similar nipple topography.

Publisher

FapUNIFESP (SciELO)

Subject

Dermatology

Reference20 articles.

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