Department of Obstetrics and Gynaecology, St Helens and Knowsley Teaching Hospital, Prescot, UK.
J Hum Lact. 2013 Feb;29(1):17-9. doi: 10.1177/0890334412467509. Epub 2012 Dec 4.
Raynaud's phenomenon of the nipple is an unusual cause of severe nipple pain. Precipitants for Raynaud's phenomenon of the nipple are known to be cold temperatures, caffeine, and emotional stress. Nipple pain is quoted as the most common cause of cessation of breastfeeding. It is important that lactation consultants and other health care professionals are aware of Raynaud's phenomenon of the nipple and the treatment options available. This is a case of a 37-year-old woman, Gravida 2, Para 1, who was first seen in the antenatal clinic at 34 weeks gestation. A diagnosis of Raynaud's phenomenon of the nipple was made after she began taking labetalol for pregnancy-induced hypertension. The phenomenon had occurred in both of her previous pregnancies on commencing labetalol and resolved postnatally on cessation of the drug. We aim to raise awareness of both the condition itself and the potential role of labetalol in the development of Raynaud's phenomenon of the nipple.
乳头雷诺现象是一种引起严重乳头疼痛的不常见原因。已知引起乳头雷诺现象的诱因有寒冷温度、咖啡因和情绪压力。乳头疼痛是导致停止母乳喂养的最常见原因。哺乳期顾问和其他保健专业人员了解乳头雷诺现象及其可用的治疗选择非常重要。这是一位 37 岁女性的病例，孕 2 产 1，在 34 周妊娠时首次在产前诊所就诊。在开始服用拉贝洛尔治疗妊娠高血压后，她出现了这种现象，随后被诊断为乳头雷诺现象。这种现象在她之前的两次妊娠中都发生过，在开始服用拉贝洛尔时出现，在产后停止用药后消失。我们旨在提高对这种情况本身以及拉贝洛尔在乳头雷诺现象发展中的潜在作用的认识。
