Hi Fio, 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. Laurie Wheeler, IBCLC, MN, RN *********************************************** 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