 [ Symptoms ] i am a 57 y o male with nipple soreness and asymetrical blackdark brown coloring spots on the aeriolas bilaterally [ Disease ] nipple soreness in men could be related to medicatons you may be taking since i do not know your medical history this is something that should be discussed with your doctor as far as the blackbrown spots are concerned this will require a hands on visual examination there is really no way to blindly make an assumption about the nature of these spots over the internet