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Breast dermatitisL30.9

Author:Prof. Dr. med. Peter Altmeyer

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Last updated on: 23.02.2021

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Synonym(s)

atopic nipple eczema; dermatitis of the nipples; Eczema Nipple eczema; Jogger nipples; nipple eczema; Nipple Eczema

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DefinitionThis section has been translated automatically.

Etiologically not further defined term for a dermatitis in the nipple area which frequently occurs as "minus variant" within the scope of an atopical dermatitis but also of other chronic dermatitis.

Clinical featuresThis section has been translated automatically.

Single- or double-sided, usually chronically inpatient, also recurrent, red or reddish-brown, slightly or severely scaling, occasionally also focal or extensive weeping, highly sensitive (occasionally the abrasive pressure of clothing is not tolerated), itchy or painful nipple (see also thelalgia). .

Differential diagnosisThis section has been translated automatically.

One-sided occurrence:
- Mr Paget
- M. Bowen.
Single or double sided occurrence:
- Atopic Dermatitis
- Scabies
- As a result of continuous mechanical irritation (e.g. for long-distance runners: Jogger nipple)
- Chronic allergic contact dermatitis
- Nummular dermatitis
- psoriasis vulgaris
- Keratosis areolae mammae naeviformis.

TherapyThis section has been translated automatically.

Treatment of the underlying disease. Exclusion of contact sensitization, scabies,

The frequently underlying atopic nipple eczema proves to be extraordinarily resistant to therapy. A class II steroid can be used for several days to break the vicious circle: itching - rubbing and scratching - erosions - oozing. Subsequently, blank therapy with antiphlogistic (e.g. ichthyol-containing) ointments in combination with black tea compresses.

Notice. In case of unilateral therapy-resistant "nipple eczema", a sample biopsy should be performed after 3 months at the latest to exclude Paget 's disease or Bowen 's disease of the nipple!

Authors

Last updated on: 23.02.2021

Author: Prof. Dr. med. Peter Altmeyer