What is a common finding in a patient with Paget's disease of the nipple?

In Paget's disease of the nipple, redness and scaling of the areola and nipple are hallmark signs observed in affected individuals. This condition is associated with underlying breast carcinoma, particularly ductal carcinoma in situ, and often presents with alterations in the skin over the nipple area. The crusting or scaling can be mistaken for other dermatologic conditions, which is why it's essential for healthcare providers to recognize these changes as potentially indicative of Paget's disease.

The presence of redness and scaling is not only a common symptom but also a significant physical finding that prompts further investigation, such as a biopsy, to rule out malignancy. In contrast, while symptoms like itchiness, lumps, or discharge may be encountered in various breast conditions, they are not as directly linked to Paget's disease as the characteristic skin changes are. The distinctive presentation of redness and scaling in the context of the nipple is critical for early diagnosis and intervention.