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A 28-year-old North Indian female presented with complaints of black staining of undergarments over the breasts for the last five to six years. Staining was more prominent during summer. There was no history of relevant drug intake during this period including oral contraceptives. Examination revealed a dark black secretion over the areola of breasts, which could be expressed out in multiple droplets on squeezing the surrounding area [Figure 1]. The surrounding skin was normal in appearance. No evidence of colored sweat was found on the face and axillary areas. A skin swab from the involved area was negative for bacterial growth. Urine examination for pregnancy was negative and serum prolactin levels were normal. On the basis of history

Apocrine chromhidrosis localized to the areola in an Indian female treated with topical capsaicin