I, too, would be concerned about the long term use of the high dose 
steroids on such delicate skin.  It could cause atrophy and be 
contributing to the healing problem. 

Personally, after I used on myself APNO and Diflucan and got my breast 
infection under control, I have had good success using very pure zinc 
oxide ointment (got from behind-the-counter at the compounding pharmacy 
that made the APNO).  This may be a useful, safer alternative for this 
mother that could provide a soothing barrier while the sores heal.  A 
topical antibiotic also has merit, but one would need to watch that she 
isn't reacting to the antibiotic since some (e.g. neomycin) are common 
irritants.  Perhaps alternating them would be soothing and protective 
for her skin.

Rachel Bittker, MD
Mother to 14 mo nursing son

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