Mom has one sided eczema (at least it looks like the eczema picture in  the 
Breastfeeding Atlas) for 6wks. It is  sometimes painful (pinching) and 
sometimes just tender (tingle),  very red, flaky, on bottom of underside of nipple and 
around 3/4 of the areola.  Though at times during the 6wks there would be a 
few times it would look a  little better -not as red, not has flaky. She is an 
experienced  breastfeeding mom and is currently nursing a 1 yr old. She first 
thought maybe  the baby sucked wrong or teething. So for the first and second 
week she did  nothing special except limit nursing on that side, get better 
latch  and just thought it would heal. That did not help so on the third week 
she  started lansinoh.  It did not help so then she tried hydrocortisone 2.5%  
for 5 days at first 3 times a day then tapering down and stopping it. That 
still  did not help. She then went to her dr. who thought maybe it was an  
infection since the hydrocortisone didn't help she suggested an antibiotic but  mom 
was scared of thrush and wanted to try Newman's APNO first to see if that  
would help and then if it did not help try the oral antibiotic the dr.  suggested. 
Mom has only been on APNO 2 days. 
 
So my questions are: 
 
Have you seen/heard of only one sided eczema? What was your experience with  
it?
 
Is it possible to have one sided rash just be eczema and that mom  would just 
have to continue treating it like people who have it on other parts  of her 
body? Maybe she just didn't treat long enough with hydrocortisone? 
 
What other medications have you seen work for eczema? (Mom as no history of  
eczema and has never had thrush.)
 
Mom asked if she should try gentian violet just to rule out the  thrush. 
Think that would be helpful?
 
I know mom has just started on APNO and still has the antibiotic to try  but 
I have read about Paget's so this has crossed my mind----- so hope that  is 
not the case--- mom is 35yr, no family history of breast cancer, has  breastfed 
all her children and had first child at 22yr , and dr.  did not  feel any lump 
(since 50% of paget's patient will have also have a  lump). So the question 
is when does this mom/dr. consider paget's? 
 
Thank you so much for your thoughts. You can reply to list but could you  
also private email me so I do not miss your post. 
 
Kim Ann Lorber
[log in to unmask] (mailto:[log in to unmask]) 
or
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