What is the Difference Between Paget’s Disease and Eczema?

Paget's disease and eczema are two distinct conditions that can affect the skin of the breast. While they may share some similarities in appearance, such as redness, discoloration, and itching, there are key differences between the two:

1. Affected areas: Paget's disease typically affects the nipple and areola, while eczema can affect both breasts and other parts of the chest.
2. Symmetry: Paget's disease usually affects only one breast, whereas eczema is more likely to affect both breasts.
3. Causes: Paget's disease is a rare type of breast cancer, accounting for 0.5 to 5% of breast cancer cases. Eczema, on the other hand, is a common inflammatory skin condition that can affect any part of the skin, including the breasts.
4. Diagnosis: Paget's disease is diagnosed through tests such as mammograms and biopsies, while eczema is typically diagnosed through a visual examination and assessment of the patient's medical history.
5. Treatment: Paget's disease is treated as breast cancer, which may involve surgery, radiation, chemotherapy, and hormone therapy. Eczema is managed by avoiding triggers, using medications as prescribed, and maintaining a good skincare routine.

It is essential to consult a healthcare professional for a proper diagnosis and treatment plan if you notice any changes in the skin around the nipple or on the breast.

Comparative Table: Paget’s Disease vs Eczema

Here is a table comparing the differences between Paget's disease and eczema:

Paget's disease and eczema both cause discoloration, rash, and itchiness, but they have different characteristics and affect different areas of the breast. It is essential to see a doctor for a rash that involves the nipple or won't clear up, as it could be a symptom of Paget's disease or eczema.