Extramammary Paget’s Disease (EMPD) Symptoms


What are the symptoms of extramammary Paget’s disease (EMPD)?

Most commonly extramammary Paget’s disease (EMPD) symptoms appear in genital, perineum, anal or armpits areas of women or men. In exceptionally rare cases, EMPD can appear elsewhere in the body. EMPD generally affects postmenopausal women and men over the age of 40, with most cases occurring in individuals over 60. However, there have been cases with patients being as young as 17 years old. EMPD patients frequently indicate one or more of these symptoms:

  • Redness

  • Rash

  • Mild to unrelenting itching

  • Burning sensation

  • Pain or soreness

  • Scaliness

  • Crusty

  • Flaky

  • Weeping

  • Inflammation

  • Irritation

  • Pimple

  • Lump

  • Inflamed hair follicle

  • Painful erosion

  • Bleeding lesions

  • Subtle skin change

Since these symptoms are similar to other ailments, EMPD is often misdiagnosed with conditions such as: jock itch (tinea cruris), contact dermatitis, chronic dermatitis, psoriasis seborrheic dermatitis, non-resolving eczema, intertrigo, plaque psoriasis, pruritus, moniliasis, anogenital intraepithelial neoplasia,  lichen sclerosis, melanoma, mycosis fungoides, histiocytosis, leukoplakia, fungal infections, Bowen's disease, squamous cell carcinoma (SCC), basal cell carcinoma, condylomata acuminate, hidradenitis suppurativa, or Crohn’s disease.

Some EMPD patients may only have one symptom, or in rare cares no symptoms. If you have some of these lingering symptoms visiting your doctor would be prudent. A biopsy, along with special staining of the tissue sample, can determine whether you have EMPD.

To avoid delayed extramammary Paget's disease (EMPD) diagnosis, those with EMPD symptoms often visit a dermatologist, gynecologist, surgeon or urologist to speed diagnosis. 

More information on extramammary Paget’s disease (EMPD) can be found on the many pages of the myEMPD.com website.