Department of Pathology, Shri Guru Ram Rai Institute of Medical & Health Sciences, Dehradun, Uttarakhand, India.

Department of Pathology, Shri Guru Ram Rai Institute of Medical & Health Sciences, Dehradun, Uttarakhand, India.

Department of Pathology, Shri Guru Ram Rai Institute of Medical & Health Sciences, Dehradun, Uttarakhand, India.

Molluscum contagiosum (MC) is a cutaneous benign infection. DNA poxvirus is known to be its causative agent. It usually affects the exposed areas of the human body. Involvement of the nipple areolar complex (NAC) is exceedingly rare and may sometimes mimic benign or malignant adnexal lesions, posing a diagnostic challenge. We report a case of MC presenting nodular lesions over the NAC clinically suspected as polythelia with sebaceous cyst. Histopathological examination confirmed the diagnosis. Such atypical presentations can lead to diagnostic dilemmas, and possible differential of molluscum should always be kept in mind.