Seborrheic Keratosis - Hyperkeratosis of the Nipple and Areola

Hyperkeratosis of the Nipple and Areola is a very common skin condition that shares some features of Seborrheic Keratoses, which I encounter in both my The Woodlands dermatology and Conroe dermatology clinics.  Hyperkeratosis of the Nipple and Areola is usually asymptomatic with unknown etiology.  Women account for 80% of all cases of Hyperkeratosis of the Nipple and Areola and it first appears in the 20's and 30's.  Men can develop Hyperkeratosis of the Nipple and Areola at any age.  In most patients, Hyperkeratosis of the Nipple and Areola is bilateral (occurs on both sides of the body).  The clinical appearance of Hyperkeratosis of the Nipple and Areola is typically a warty brown thickened plaque.  Treatment is very difficult but some patients have success with calipotriene ointment, which is a Vitamin D analog.  The histology of Hyperkeratosis of the Nipple and Areola is almost identical to that of Seborrheic Keratoses.

Hyperkeratosis of the Nipple and Areola (http://t3.gstatic.com/images?q=tbn:ANd9GcTwDZXAIzwfhsjtXTVoiCXgf9AOBBDJvQ3L28j1hXJEjZSS5lRq1OxgUN2D8Q)

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