A midwife contacted me about the following case.  What do you think?

"34 yr old gravida 1.   She is now 28wks gestation.  At 23wks she developed a
3 cm pink-red area all the way around her areola on one breast.  No
tenderness, no warmth to touch, just color changes. No changes in it since
she noticed it at 23 wks.   She may be just starting to  get a sm amount of
colostrum.  Her Dr. does not know the cause and wants her to see a surgeon.
Surely there is someone else more suitable.  She does have mild-moderate
nipple retraction on that breast."

Pat Gima, IBCLC
Milwaukee, Wisconsin
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