Areolar melanosis (AM) is the presence of an irregularly shaped pigmented lesion of the nipple and areola. It is benign, but must be distinguished from melanoma. Vitiligo has been associated [JEADV 2014;28;1251]. For related conditions, see penile melanosis and vulvar melanosis.


Sharply marginated, asymmetric pigmentation, with an irregularly bordered contour of the nipple and the areola is characteristic.


Biopsy is necessary to exclude atypia or melanoma. Photographic documentation followed by surveillance and rebiopsy if necessary is in order.


Dermatol Surg. 2008;34:1101-3.


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