Paget's disease usually affects the skin of one nipple and produces eczema-like symptoms, appearing as an itchy, red rash on the nipple that can extend to the darker area of surrounding skin (the areola). It can also appear as a small ulcer or dry, red, flaky patches of skin similar to psoriasis. Other possible symptoms include: itchiness or a burning sensation – alongside visible changes to the nipple bleeding from the skin of the nipple If you're experiencing itchiness, burning or bleeding but the nipple looks normal and isn't red, dry or scaly – this is extremely unlikely to be Paget's disease but should still be checked by a doctor.