Melinda and Lisa, I doubt if it would look crusty. The appearance of 
psoriasis of the nipples is different. Has the mother been investigated for 
a bacterial infection?  In a recent post I provided a reference for a very 
useful article by dermatologists (Heller and colleagues) that describes a 
number of causes of sore nipples. Have a look in the archives.

Virginia
in Brisbane
~~~~~~~~

Psoriasis?? No experience with this
Melinda Harris-Moulton, Olympia, WA

Sent from my iPad

On Nov 27, 2013, at 5:52 AM, Lisa Paul <> wrote:

> What would cause nipples to lose their outer protective layer within 1 day 
> of birth?  Outside of a poor latch and tongue tie.  If a nipple looked 
> brown and crusty during pregnancy, what could that indicate?
>
> Give me all your ideas, no matter how far out.  I appreciate your help, as 
> I am at a loss.
>
> Thank you,
> Lisa Paul, IBCLC
>

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