How can you tell the difference between Paget’s disease and eczema?

Is it eczema or Paget’s disease?

Paget disease of the breast is often mistaken for eczema. Eczema is an itchy, red skin rash. It is not cancer. Although Paget disease and eczema can look alike, Paget disease most often affects only one nipple and doesn’t go away after using common eczema treatments.

How do you rule out Paget’s disease?

The most important one for diagnosing Paget’s disease is a blood test for alkaline phosphatase, an enzyme made by bone. If the level of this enzyme is high, your doctor will want to do other tests. You might also need other tests, such as an MRI or a CT scan.

What does eczema look like on areola?

Signs of nipple eczema may include: Dry, itching skin. Patches that appear red or brown and gray. Tiny raised bumps that leak fluid when scratched or irritated.

Can inflammatory breast cancer look like eczema?

This condition develops in the nipple or the darker area of skin around it (the areola). It usually first appears as a red, scaly rash of the skin that may look like eczema. There might also be some discharge or bleeding from the nipple.

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Is Paget’s disease always itchy?

Paget’s disease of the nipple always starts in the nipple and may extend to the areola. It appears as a red, scaly rash on the skin of the nipple and areola. The affected skin is often sore and inflamed, and it can be itchy or cause a burning sensation. The nipple can sometimes be ulcerated.

Does Paget’s rash come and go?

The disease typically starts in the nipple and may spread to the areola and other areas of the breast. The skin changes may come and go early on or respond to topical treatment, making it appear as if your skin is healing.

What are the three phases of Paget’s disease?

Three phases of Paget disease have been described: lytic, mixed lytic and blastic, and sclerotic. In an individual patient, different skeletal lesions may progress at different rates. Thus, at any one time, multiple stages of the disease may be demonstrated in different skeletal regions.

How do I get rid of eczema on my areola?

Topical treatment:

  1. Prescription steroid ointments: Elocon ointment or Advantan fatty ointment 1-2x daily, applied to the affected area only, for 7 days.
  2. If breastfeeding, apply the ointment sparingly after a feed.
  3. After 7 days, switch to 1% hydrocortisone ointment daily. …
  4. Be consistent for the best results!

What is the most common age for females to be diagnosed with Paget’s disease?

Paget’s disease of the nipple is more common in women, but like other forms of breast cancer, it can also affect men. The disease usually develops after age 50. According to the National Cancer Institute, the average age of diagnosis in women is 62, and in men, 69.

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Is eczema always itchy?

No matter which part of your skin is affected, eczema is almost always itchy. The itching sometimes starts before the rash. Your skin may also be: Red.

Why do I have eczema on my nipples?

Eczema of the nipple occurs when an itchy, scaly, irritated rash develops in the areola (area of dark skin surrounding the nipple). It can occur on one or both nipples. Usually it is caused by irritation from certain articles of clothing, soaps, laundry detergents, or lotions.

What is the root cause of eczema?

The exact cause of eczema is unknown. It is caused due to an overactive immune system that responds aggressively when exposed to triggers. Certain conditions such as asthma are seen in many patients with eczema. There are different types of eczema, and they tend to have different triggers.