A Rare Case of Extramammary Paget’s Disease Mimicking Chronic Dermatitis
DOI:
https://doi.org/10.31436/imjm.v25i02.2750Keywords:
Paget’s disease, extramammary, dermatitis, skin neoplasms, rare diseaseAbstract
Extramammary Paget`s disease (EMPD) is a rare malignant dermatological condition that usually occurs in regions with high concentrations of apocrine sweat glands. The vulva is the most commonly affected region, but it can also involve the skin of the penis, perianal area, scrotum, and perineum. This is a case of a 77-year-old postmenopausal lady who presented with a non-resolving and persistent itchy skin lesion on her genital area that had been spreading over three years and had not responded to topical and systemic steroids or antifungals. This case highlights the diagnosis challenges due to its almost similar features to genital dermatitis and fungal infection. Early recognition of this disease at the primary care level is important due to the high incidence of associated invasive disease with this rare condition.
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