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Date: | Sat, 17 Feb 1996 10:08:17 -0500 |
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Dear Jan: I think there are MANY cases of undiagnosed eczema of nipple and
areola. In my exper. they are labeled "thrush" and treated forever with few
results. I think it only makes sense that if you treat thoroughly for
candidiasis and you don't see a cure, you have to try another approach. I
always ask the question: do you have any other patches that look like this
elsewhere on your body? and Do you have a history of allergic dermatitis,
eczema, etc?
I refer you to Lisa Amir's excellent article from a few yrs back in Journal
of Human Lactation. I use this frequently. She describes topical use of
cortisone and topical use of bactroban (prescription antibiotic) to treat
secondary bacterial infections which complicate eczema. A referral to a
dermatologist is a sound recommendation when you have tried common approaches
and they have failed. It IS often hard to get in, though. Perhaps
establishing a relationship with a dermatologist would help. Maybe you
couldn't get same-day service, but I have such a relationship and can usually
get a woman seen in a few days.
Barbara Wilson-Clay, BSE, IBCLC
priv.pract. Austin, Tx
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