Nipple eczema
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relevance score : -100.0%
ReferencesNipple eczema, although considered to be a minor diagnostic criteria for diagnosis of AD, is one of the most common clinical presentations of AD in the breast. Nipple eczema in pregnancy follows a similar pattern as in other age groups. The clinical profile of patients is similar in cases with and without atopic dermatitis.
Nipple eczema, considered mostly as a minor manifestation of atopic dermatitis, may have unknown causes. However, its clinical course and pattern often make it difficult to differentiate its underlying causes such as irritation or sensitization. Nevertheless, allergic contact dermatitis must be considered an important cause of nipple eczema. We found considerable clinical improvements and reduced recurrence in 5 of the 9 patients who had positive patch tests and followed an avoidance-learning program. In conclusion, allergic contact dermatitis should be considered first in the differential diagnosis of nipple eczema, especially in patients showing bilateral lesions and lesions extending into the periareolar skin.
Some people with atopic dermatitis develop a rash around their nipples. Persistent nipple eczema in middle‑aged and elderly individuals should be evaluated by a doctor, as a rare form of breast cancer called Paget's disease can produce similar symptoms.
○ Treatment ― OTC Drugs
Younger individuals with a history of other allergies are more likely to develop nipple eczema. However, older individuals should see a doctor because the condition may be associated with malignant diseases such as Paget disease. Washing the affected area with soap does not help and can worsen the irritation.
OTC steroid ointments may help relieve the symptoms.
#Hydrocortisone ointment
Taking OTC antihistamine. Cetirizine or levocetirizine are more effective than fexofenadine but make you drowsy.
#Cetirizine [Zytec]
#LevoCetirizine [Xyzal]