Weimann E
Centre for Child Health, St Bernward Hospital, Hildesheim, Germany.
J Paediatr Child Health. 2003 Mar;39(2):155-6. doi: 10.1046/j.1440-1754.2003.00118.x.
Bloody nipple discharge is a rare but distressing finding in neonates and infants. We report an 8-month-old boy who showed bilateral bloody nipple discharge for 5 months without signs of infection. Ultrasound examination revealed dilated mammary ducts. This benign phenomenon is most likely caused by mammary duct ectasia. On the background of the reviewed literature, intensive investigations should only be performed in neonates and infants if bloody nipple discharge is unilateral, continues, expands in size or shows signs of inflammation. We discuss the clinical management of nipple discharge during infancy and childhood.
血性乳头溢液在新生儿和婴儿中是一种罕见但令人苦恼的表现。我们报告一名8个月大的男孩，双侧血性乳头溢液5个月，无感染迹象。超声检查显示乳腺导管扩张。这种良性现象很可能是由乳腺导管扩张症引起的。根据文献回顾，如果新生儿和婴儿出现单侧、持续、增大或有炎症迹象的血性乳头溢液，才应进行深入检查。我们讨论了婴儿期和儿童期乳头溢液的临床处理。
