Persistent, Intensely Painful Ulceration of the Contralateral Breast

Poll

A 71-year-old woman was receiving a multi-agent chemotherapeutic regimen following a lumpectomy for breast cancer. After the second round of treatment, she presented for medical care due to persistent, intensely painful ulceration of the contralateral breast.

A 71-year-old woman was receiving a multi-agent chemotherapeutic regimen following a lumpectomy for breast cancer. After the second round of treatment, she presented for medical care due to persistent, intensely painful ulceration of the contralateral breast. The process depicted began as scattered erythematous papules, which became coalescent and then eroded over a seven-day period.

Which of the following statements about this case is true?

A. The patient has metastatic breast cancer.
B. The patient has classic coumadin necrosis, likely due to surreptitious anticoagulant use.
C. The patient needs intravenous acyclovir.
D. The patient exhibits prurigo nodularis following stress-induced skin picking.