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Date: | Tue, 20 Jun 2006 20:06:39 +0000 |
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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
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