She needs a medical evaluation by a dermatologist as soon as possible. 

> On Nov 13, 2014, at 1:56 PM, Sue Bedard <[log in to unmask]> wrote:
> 
> hope some one has seen this and has some ideas
> I have permission to share the mother's history - observations 
> 29 yo 3rd time mom - nursed #1 for 3 weeks - #2 pumped and bottle fed for 9 months
> HX - as soon as get pregnant her nipples begin to "slough off" - skin peels around nipple
> #1 went to Dermalogist and was told nipples would not heal as long as there was milk - quit - did not know what it is
> #2 Culture nipples on 3 occassions - first time is was only skin - staph epi the other 2 times did not grow Yeast or any bacteria. Tried OTC antibiotic - cortisone - nothing really helped so just pumped
> 
> #3 pain and redness started 5 days after missed period - by 6 weeks areola skin was peeling
> Baby has nursed twice - there is NO problem with latch that can be fixed
> The nipple is erect without color change - no obvious damage to the nipple
> Both areola are bright red - 
> Parts look like a sunburn - where the skin is peeling (not flakey) the skin is raw - angry red 
> where the skin is intact and not peeling there are cluster of pin point yellow pimples - look like grape cluster - there are 4-5 of the pimples all in long cluster - peeling skin then more cluster 
> They are more prominient on the top of the areola but appear scattered throughtout
> She says her areola "burns"
> It looks like a vaginal yeast infection - that red - but there is no evidence of yeast 
> Hydro gel pads are soothing but does not heal
> 
> Her goal
> 1. She would like to know if anyone has heard or seen anything like this
> 2. Limit the damage so that she does not get mastitis - she had 3 times with baby #2 
> Is going to use antibiotic ointment and 1% cortisone and gel pads
> 
> She wants to breastfeed but will pump and feed with bottle if needs to
> Warm tea bags are soothing but does nothing to heal 
> 
> Nipple Shield?
> Has anyone used Burrow's Solution? Aluminium Acetate that is an astringent and antibacterial - trade name Domeboro
> 
> Thanks in advance
> Sue Bedard
> Ogden Utah
> 
>             ***********************************************
> 
> Archives: http://community.lsoft.com/archives/LACTNET.html
> To reach list owners: [log in to unmask]
> Mail all list management commands to: [log in to unmask]
> COMMANDS:
> 1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
> 2. To start it again: set lactnet mail
> 3. To unsubscribe: unsubscribe lactnet
> 4. To get a comprehensive list of rules and directions: get lactnet welcome

             ***********************************************

Archives: http://community.lsoft.com/archives/LACTNET.html
To reach list owners: [log in to unmask]
Mail all list management commands to: [log in to unmask]
COMMANDS:
1. To temporarily stop your subscription write in the body of an email: set lactnet nomail
2. To start it again: set lactnet mail
3. To unsubscribe: unsubscribe lactnet
4. To get a comprehensive list of rules and directions: get lactnet welcome