I had a mom who presented similarly.  I treated both mom and baby with
fluconazole for 14 days and THEN she got the "callouses."  I talked with
her OB and we decided to send her to a dermatologist who diagnosed her
with contact dermatitis.  She treated mom with 2 creams that she
alternates and things are better but the "callouses" still come back if
she stops using the cream (baby is 13 months).

Patti Gardner, CNM, IBCLC
Cheyenne, WY

Date:    Mon, 3 Nov 2003 11:21:03 -0500
From:    Teresa Pitman <[log in to unmask]>
Subject: Re: LACTNET Digest - 2 Nov 2003 to 3 Nov 2003 - Special issue
(#2003-1497)

>
> Mother of 23 month old baby called our support group and asked about
the
> cause of her constantly sore nipples. Soreness developed this spring
when
> baby was 15 months old. Nipples were sore and cracked skin looked dry
and
> peeling. In August when they was at the vacation at the sea nipples
nearly
> healed, but in September cracks appeared again. Now she has deep
cracks at
> the base of her nipples. Strangely, they are completely painless.
Mom
> describes skin near cracks as callous. She is in another town so I
can use
> her description only. She doesn't wear a bra for the last 9 months,
doesn't
> wash nipples with soap so it is not an allergy to some detergent

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