Just an idea but have you ruled out inflammatory breast cancer.  I had a
friend who all of a sudden had this rash and inflammation  on her  left
breast, and over the course of 2 1/2 months she saw numerous  docs
including a couple of a dermatologist one who  ultimately diagnosed it
by saying this looks like inflammatory breast cancer which it was.
Jan Aken RN IBCLC

> -----Original Message-----
> From: Lactation Information and Discussion
> [mailto:[log in to unmask]] On Behalf Of Shannon McElearney
> Sent: Thursday, October 14, 2004 10:42 AM
> To: [log in to unmask]
> Subject: Re: is this mastitis? differential diagnoses invited
>
> Complicated.  The burning pain and rash on the trunk, extending
anterior
> and posterior, reminds me from the description of shingles (varicella
> resurgence).  The redish/purplish discoloration could be consistent,
> though the lumps are a little puzzling, but could be consistent.
Though I
> would not expect to see problems on the other side.  Is the rash along
a
> dermatomal distribution?
>
> I suppose it could be a mastitis that has spread along fascial planes,
> which could be troubling, especially without response to the
antibiotics.
>
> Not confident in either diagnosis though.  Wish I was there to see the
> patient.
>
> Shannon McElearney, MD
> PGY4, General Surgery
> University of Virginia
>
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