I am posting this for a physician who is dealing with a mother at six weeks postpartum with this rare condition. the two specialists who has seen this mother both recommend weaning since she has not responded to prednisone and now want to treat her with methotrexate which is contraindicated with breastfeeding. The mother is wanting to breastfeed but this condition causing a major systemic rash is a huge problem for her. The specialists are saying it is exacerbated by the hormones and stopping breastfeeding will solve the problem. I have searched the archives and the comments are that corticosteriods clear this up and that the hormone progestin does aggravate it. Uusally this condition clears after pregnancy but in this case it hasn't. Any thoughts or suggestions would be greatly appreciated. Maureen Fjeld, IBCLC Director, Calgary Breastfeeding Center [log in to unmask]