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Sat, 23 Apr 2005 10:22:24 +1000 |
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Hi Barbara
I would begin to question the diagnosis of mastitis.
In my area over the last couple of years there have been several cases of
erysipelas of the breast, which at first gets diagnosed as mastitis, but
doesn't involve the deeper mammary structures to any degree, just the skin.
I'm not taking anything away from this condition - the women get very sick
and it has proven to be very difficult to treat.
The area is usually very large, as you have described, has an 'orange peel'
type of pitting to the skin, and it is bright red!!
One woman was in hospital on IV antibiotics for days and just recovering
from it on one breast when it started on the other - while she was still on
the IV antibiotics.
Here's a link to some information about erysipelas:
http://www.emedicine.com/derm/topic129.htm - this article mentions the
possibility of recurrence; one mother had it with her first baby, then it
reoccurred in exactly the same spot with her next baby. An infectious
diseases specialist could be a very handy addition to your team if this is
what your client has.
There will be a presentation of these case studies at the ABA International
Conference in Hobart in September.
Denise
***************************************
Denise Fisher
Health e-Learning
http://www.health-e-learning.com
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