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Unknown: Painful ulcer on the breast

  • Author(s): Paley, Kristina
  • McSorley, John
  • Azmi, Farrukh
  • Geskin, Larisa J
  • et al.
Main Content

Unknown: Painful ulcer on the breast
Kristina Paley MD1, John McSorley MD2, Farrukh Azmi MD1, Larisa J Geskin MD1
Dermatology Online Journal 13 (2): 23

1. University of Pittsburgh School of Medicine 2. University of Pittsburgh School of Medicine 3. AmeriPath, Dermpath Diagnostics 4. University of Pittsburgh School of Medicine


Clinical synopsis


Figure 1

A 41-year-old female presented for evaluation of a painful ulcer on her left breast. The ulcer developed 6 months prior to presentation and had been draining purulent material. The patient was treated with numerous courses of antibiotics without any response. Serial cultures from the ulcer have all been negative. At the time of presentation, patient complained of soft tissue swelling at the root of the nose, occasional epistaxis, generalized malaise and a 15-pound weight loss over 5 months.

Physical examination of her left breast revealed a 5 by 2.5 cm oval irregular ulceration with violaceous undermined borders (Fig. 1).

What is your diagnosis? Answer

© 2007 Dermatology Online Journal