PMC5459975_01
The picture shows the lesion characterized by a big morula and many pustules with a frail roof within hemorrhagic fluid, outlined by an edematous circular edge.
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During the first 3 weeks, the lesion began to enlarge, and ultimately consisted of a big hemorrhagic morula, surrounded by several pustules, and outlined by an edematous circular edge (Figure 1).
Two months after initial presentation, the involved area became pale, avascular, and covered by a transparent epithelial coat surrounded by multiple frail and thin telangiectasias with retraction of the skin in the inferior quadrants of the breast.
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Two months later, the initially involved area became pale and avascular, and was covered by a transparent epithelial coat surrounded by multiple frail and thin telangiectasias (Figure 2).
The picture shows a severely retracted and distorted breast with edema of the subcutaneous tissues as well as induration in the central part over the nipple area with peripheral telangiectasias.
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The breast was severely retracted and distorted with edema of the subcutaneous plane and induration in the central part near the nipple area, with peripheral telangiectasias (Figure 3).
Magnetic resonance images of the breast show a contrast enhancement of the dermal-epidermal surface with thickening of the skin contour. (A) Is in the caudal part where there is oedema, (B) is in the middle part of the lesion where there are more vessels.
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Breast MRI showed no relapse and a contrast enhancement of the dermal-epidermal surface with thickening of the skin contour as shown in Figure 4A and B.
Patch biopsy of the involved area with findings of chronic inflammatory disease evidenced as panniculitis and chronic radiodermatitis.
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The biopsy revealed findings of chronic inflammatory diseases, such as panniculitis and chronic radiodermatitis, characterized by fibrosis and dermo-epidermal strippings, telangiectasias with thin and frail vessels (Figure 5).