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Lactation Information and Discussion

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Subject:
From:
Anne Eglash <[log in to unmask]>
Reply To:
Lactation Information and Discussion <[log in to unmask]>
Date:
Thu, 8 Oct 2009 21:42:44 -0500
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I go against the grain when it comes to candida. My experience is that 
the vast majority of chronic breast pain is not simply yeast. I would 
only consider a diagnosis of yeast  if there is a convincing sort of 
nipple/areolar rash, much like the red rash seen in skin folds or vulvar 
areas when yeast is involved. Therefore, my recommendation is to do a 
KOH of the skin around the nipple/areolar area if you suspect yeast. I 
don't recommend doing this for milk, since yeast won't be found there, 
and if anything, untrained eyes might declare false positives. If you 
really want to try finding yeast in milk, do a milk culture.
Anne Eglash MD
Clinical Associate Professor
Dept of Family Medicine
University of Wisconsin School of Medicine and Public Health
600 N. 8th St.
Mount Horeb, WI, 53572
608-437-3064 (O)
608-437-4542 (fax)

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