Brief Answer: PAGET'S DISEASE OF BREAST HAS TO BE RULED OUT. Detailed Answer: Hello, Thanks for writing to us. According to your information and clinical picture, I can assume that underlying condition could be Paget's Disease of the Nipple or Eczema. In this scenario, we need to rule out malignant carcinoma of breast which can affect both nipple & areola and present with itchy & crusty nipple. Here, I suggest you to consult with ONCOLOGIST for clinical examination of the breast and adjacent axillary lymph nodes to make a concrete diagnosis. Relevant investigations like mammogram, biopsy of breast tissue or nipple, Cytopathology etc are required for confirmation. Proper treatment depends on the diagnosis of the case. Surgical treatment is preferred if Paget's Disease is diagnosed. Mastectomy with removal of axillary lymph node is the procedure of choice in such case. Other supportive therapy may be required as adjuvant treatment. In the mean time, you can apply Lacto Calmaine Lotion for soothing effect and take Cetirizine (10 mg) at bed time until you get an appointment to your doctor. Hope, I have answered your query. If you need any clarification, you can freely ask me. Wish your good health and take care yourself. Regards, Dr Soumen For future query, you can directly approach me through WWW.WWWW.WW

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