Abstract

For 3 years, this 26-year-old woman had repeatedly attended the surgery with complaints of itching, and inflammation and thickening of the skin of the nipples and areolae of both breasts. There was some weeping of the area but no evidence of ulceration or discharge from the nipple. Each time she was prescribed a topical corticosteroid cream, which seemed to settle the problem for a while, only for it to recur weeks or months later. Examination of the breasts was always completely normal. She was now 37 weeks pregnant and worried about the problems it might cause her with breastfeeding.

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