乳头雷诺现象：一种未被充分认识的情况。
Raynaud Phenomenon of the Nipple: An Under-Recognized Condition.
机构信息
Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Meriter Hospital, and the Division of General Obstetrics and Gynecology, Department of Obstetrics and Gynecology, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin.
出版信息
Obstet Gynecol. 2019 May;133(5):975-977. doi: 10.1097/AOG.0000000000003219.
BACKGROUND
Obstetricians often feel ill-equipped to address the symptom of breast pain in pregnant and postpartum patients.
CASES
In the first case, a 40-year-old woman in the second trimester of pregnancy reported nipple discoloration and severe pain. She was treated with nifedipine, and her symptoms decreased quickly and markedly. In the second case, a 32-year-old woman presented for a routine postpartum visit. She described breast pain and sporadic purple discoloration of the nipples, a finding confirmed on examination. Conservative measures of maintaining warmth were recommended.
CONCLUSION
Raynaud phenomenon of the nipple is an underdiagnosed condition affecting women in both the prenatal and postpartum periods. A careful history and physical must be obtained in women presenting with breast pain, because diagnosis and treatment allows breastfeeding continuation and mitigation of symptoms.
背景
妇产科医生常常感到难以应对孕妇和产后患者的乳房疼痛症状。
病例介绍
在第一个病例中，一位 40 岁的孕妇在妊娠中期报告乳头变色和剧烈疼痛。她接受硝苯地平治疗，症状迅速显著减轻。在第二个病例中，一位 32 岁的妇女进行常规产后就诊。她描述乳房疼痛和乳头间歇性紫色变色，体检结果证实了这一发现。建议采取保持温暖的保守措施。
结论
乳头雷诺现象是一种在产前和产后都会影响女性的被低估的疾病。对于出现乳房疼痛的女性，必须进行详细的病史和体检，因为诊断和治疗可以允许继续母乳喂养并缓解症状。
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