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> << the ob prescribed 1% Hydrocordisone to the breasts but not the nipples
> and areola as this area was not involved. >>
>
> Really, I was under the impresion that HC was too strong to be applied there.
> Meaning it would cross over to the milk. Anyone with a definite?
Sometimes cortisone is necessary, but exercise caution about longer term
use on the nipples for chronic conditions:
De Stefano P et al (1983) Factitious hypertension with
mineralocorticoid excess in an infant. Helv Paediatr Acta 38:185-89
"Corticosteroid excess, with hypertension and profound suppression
of pituitary-adrenal function, has been reported in an infant whose
mother used a corticosteroid on her nipples for two months."
A dual management regime is worth considering - managing the dryness from
the psoriasis/eczema/dermatitis with an inactive nipple topical
(hypoallergenic and safe for breastfeeding) and adding in active product/s
as required, usually in smaller amounts or for shorter periods.
Dermatologists call this "steroid sparing".
Ros Escott BAppSc IBCLC
Tasmania, Australia
mailto:[log in to unmask]
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