"You wrote of the lady with plugs and mastitis history that <<She also has
oozy yellowish crusts on her nipples.  >> I am thinking this could be a
double infection of bacteria and candida. Can this be cultured and/or send
mother to a dermatologist? Has the abscess site been re-assesed lately, like
by ultrasound? Paget's disease is a form of breast cancer presenting as you
described, although I don't think it is usually painful and also is usually
unilateral in its presentation. Hope you can get the diagnosis soon and
treat appropriately. In the meantime, I would wash with mild soap and water
and use something like Jack's all purpose cream which contains
antibacterial, antifungal, and anti-inflammatory meds; but I would culture
first. She likely would need systemic meds as well."

Thank you for the information.  I made an error and put an "S" where there
should be none...it is on one nipple only BUT she only nurses on one side
since her daughter has refused the other side since about the age of 6 mos.
I SUSPECT there is a greater chance of it being related to the recent
mastitis or thrush or whatever than paget's disease, but thank you for
pointing that out...it's always nice to read of things you don't think of
but that could be relevant.  :-)

Thanks again!

Fio
volunteer with Allaitement Québec
Mama to Sandrine (6yo and weaned) and Nyssa (3.5 and still nursing)

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

To temporarily stop your subscription: set lactnet nomail
To start it again: set lactnet mail (or digest)
To unsubscribe: unsubscribe lactnet
All commands go to [log in to unmask]

The LACTNET mailing list is powered by L-Soft's renowned
LISTSERV(R) list management software together with L-Soft's LSMTP(R)
mailer for lightning fast mail delivery. For more information, go to:
http://www.lsoft.com/LISTSERV-powered.html