{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,9,26]],"date-time":"2023-09-26T22:51:08Z","timestamp":1695768668813},"reference-count":13,"publisher":"Georg Thieme Verlag KG","issue":"01","license":[{"start":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T00:00:00Z","timestamp":1651363200000},"content-version":"vor","delay-in-days":61,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Indian J Radiol Imaging"],"published-print":{"date-parts":[[2022,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>When faced with eczematous lesions involving the nipple\u2013areolar complex (NAC), Paget's disease is assumed to be the diagnosis, anything else being considered a \u201cZebra\u201d necessitating its exclusion on pathology. A middle-aged lady presented with synchronous asymmetrical ulceration of bilateral NAC with pleomorphic calcifications on mammography and simultaneous extensive vascular calcification in bilateral breasts that suggested systemic cause. Calciphylaxis is a rare diagnosis occurring usually due to underlying end-stage renal disease or hyperparathyroidism. There are very few case reports of calciphylaxis due to alcoholic liver disease and no cases to the best of our knowledge involving NAC. We report an extremely rare case of breast and NAC calciphylaxis due to alcoholic liver disease, highlighting need to consider benign etiology when bilateral involvement is present.<\/jats:p>","DOI":"10.1055\/s-0041-1739385","type":"journal-article","created":{"date-parts":[[2022,5,1]],"date-time":"2022-05-01T23:39:35Z","timestamp":1651448375000},"page":"142-144","source":"Crossref","is-referenced-by-count":1,"title":["Calciphylaxis and Ulcerative Lesions of Bilateral Nipple\u2013Areolar Complex Due to Alcoholic Liver Disease"],"prefix":"10.1055","volume":"32","author":[{"given":"Anamika","family":"Jha","sequence":"additional","affiliation":[{"name":"Department of Radiology, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shreya","family":"Shrivastav","sequence":"additional","affiliation":[{"name":"Department of Pathology, Institute of Medicine, Tribhuvan University Teaching Hospital, Maharajgunj, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Akhilesh K.","family":"Kasyap","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Grande International Hospital, Dhapasi, Kathmandu, Nepal"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2022,5,1]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"4541620","DOI":"10.1155\/2017\/4541620","article-title":"Calciphylaxis of the postmenopausal female breast: an uncommonly encountered mimic of carcinoma","volume":"2017","author":"A G Novotny","year":"2017","journal-title":"Case Rep Pathol"},{"issue":"01","key":"ref2","doi-asserted-by":"crossref","first-page":"83","DOI":"10.3892\/ol.2012.676","article-title":"Synchronous bilateral Paget's disease of the breast: a case report","volume":"4","author":"B Xie","year":"2012","journal-title":"Oncol 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