Keck School of Medicine, University of Southern California, Los Angeles, California, USA.
Dermatol Ther. 2013 Jul-Aug;26(4):331-6. doi: 10.1111/dth.12071.
Dermatoses of the breast during lactation can be difficult to diagnose because of their overlapping clinical appearances. It is important to properly diagnose and treat nipple dermatitis since it can be a significant source of pain when nursing. Poorly controlled nipple pain in nursing mothers is one of the primary reasons for breastfeeding to be discontinued earlier than is recommended. Therefore, it is relevant for practicing dermatologists to be aware of certain facts in a patient's history, specific physical exam findings, and the most appropriate laboratory tests used to diagnose these conditions. In addition, the therapeutic approach should be effective and safe for the mother and infant. This review article provides dermatologists with a detailed discussion on the clinical features and management of various breast dermatoses seen in lactation, including atopic dermatitis, irritant contact dermatitis, allergic contact dermatitis, psoriasis, bacterial infections, yeast infections and herpes simplex virus infections.
哺乳期乳房皮肤病因其临床表现重叠而难以诊断。正确诊断和治疗乳头皮炎非常重要，因为它在哺乳时会引起明显的疼痛。哺乳期母亲未控制的乳头疼痛是导致母乳喂养提前中断的主要原因之一，早于推荐的时间。因此，皮肤科医生了解患者病史中的某些事实、特定的体格检查结果以及用于诊断这些疾病的最合适的实验室检查非常重要。此外，治疗方法对母亲和婴儿都应该是有效和安全的。这篇综述文章为皮肤科医生提供了详细的讨论，包括特应性皮炎、刺激性接触性皮炎、过敏性接触性皮炎、银屑病、细菌感染、酵母感染和单纯疱疹病毒感染等哺乳期乳房皮肤病的临床特征和治疗方法。
