In Fox Fordyce disease, true is/are – a) Common in adult womanb) Bullous lesions are commonc) Common in areola & axillad) Associated with other malignancies

**Core Concept**
Fox Fordyce disease is a rare **chronic skin condition** characterized by the blockage of **apocrine sweat glands**, leading to itchy and dome-shaped **papules**. This condition primarily affects the **apocrine gland-bearing areas**. The underlying cause is thought to be related to the obstruction of the apocrine glands.

**Why the Correct Answer is Right**
The correct answer choice includes options that are true about Fox Fordyce disease. It is indeed more **common in adult women**, particularly those in their 20s and 30s. The disease typically presents with **papular lesions** in areas with high concentrations of apocrine glands, such as the **axillae** and **areola**, making option c correct.

**Why Each Wrong Option is Incorrect**
**Option B:** Bullous lesions are not characteristic of Fox Fordyce disease; instead, the disease is marked by small, itchy papules.
**Option D:** There is no established significant association between Fox Fordyce disease and other **malignancies**.

**Clinical Pearl / High-Yield Fact**
A key point to remember is that Fox Fordyce disease primarily affects **apocrine gland-rich areas**, leading to its characteristic distribution. This condition can significantly impact a patient's quality of life due to the intense itching associated with the lesions.

**Correct Answer:** C. a, c. Common in adult woman, Common in areola & axilla.