The elusive extremities: A case of extramammary Paget disease

Shalini Radhakrishnan, Saraswathy Sreeram, Kashinath Nayak, Sai Goutham Reddy

Research output: Contribution to journalArticlepeer-review


Extramammary Paget disease is a rare dermatological condition resembling Paget disease that occurs most commonly in the anogenital area and axilla. We present the case of an elderly male who had come with complaints of an itchy, erythematous and raised lesion in the perianal region for 3 months that did not respond to antifungals. A biopsy was taken from the lesion site and the diagnosis was confirmed by histopathological examination. It is important to be aware of conditions like extramammary Paget disease when an elderly individual presents with a non-specific pruritic lesion in the perianal area that is non-responsive to treatment; the diagnosis of which can be made only by doing a biopsy from the concerned site. This highlights the importance of histopathological examination in such ambiguous cases.

Original languageEnglish
Article numbere258045
JournalBMJ Case Reports
Issue number1
Publication statusPublished - 08-01-2024

All Science Journal Classification (ASJC) codes

  • General Medicine


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