From the Department of Obstetrics and Gynecology, National Naval Medical Center, and the Program in Reproductive and Adult Endocrinology, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, Bethesda, Maryland.
Obstet Gynecol. 2012 Feb;119(2 Pt 2):447-449. doi: 10.1097/AOG.0b013e31822c9a73.
Raynaud's phenomenon is a well-described pathologic state in which there is episodic vasospasm followed by vasodilation. It is described most commonly in the digits but also has been shown to affect the nipple vasculature. Raynaud's phenomenon of the nipple may result in discontinuation of breastfeeding secondary to pain and disruption of the maternal-infant bonding process.
We present the cases of two patients with painful breastfeeding associated with color changes of the nipple. Owing to a clinical presentation similar to fungal infections, the patients were treated repeatedly with antifungals before the correct diagnosis was made. Symptoms resolved with a course of nifedipine.
Increased awareness in the obstetric field will lead to appropriate diagnoses, earlier treatment and relief, and more successful breastfeeding experiences.
雷诺现象是一种描述明确的病理状态，其中存在阵发性血管痉挛，随后是血管扩张。它最常见于手指，但也已被证明会影响乳头的血管。乳头雷诺现象可能导致母乳喂养中断，原因是疼痛和破坏母婴结合过程。
我们介绍了两位因乳头颜色改变而出现疼痛性母乳喂养的患者病例。由于临床表现类似于真菌感染，患者在做出正确诊断之前曾多次接受抗真菌治疗。硝苯地平治疗后症状缓解。
在产科领域提高认识将有助于做出适当的诊断、更早的治疗和缓解，并使母乳喂养体验更加成功。
