Breast Health Center, Women and Infants Hospital, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA.
Breast J. 2020 Oct;26(10):2045-2047. doi: 10.1111/tbj.13991. Epub 2020 Aug 4.
Raynaud's phenomenon of the nipple (RPN) is a cause of nipple pain scarcely reported in the literature and frequently missed by physicians. We present a case of RPN in a pregnant mother who sought breast surgical consultation for episodic nipple pain. Review of the literature reveals RPN is predominant in lactating and pregnant patients and missed diagnosis can cause cessation of breastfeeding or mistreatment with antifungals. Clinical suspicion should be raised if symptoms are precipitated by cold, associated with color change, occur during pregnancy or breastfeeding, or with a history of Raynaud's. Treatment is generally supportive, with nifedipine used for severe cases.
乳头雷诺现象（RPN）是一种乳头疼痛的原因，在文献中鲜有报道，也常被医生漏诊。我们报告了一例妊娠母亲的 RPN 病例，她因间歇性乳头疼痛而寻求乳房外科咨询。文献复习表明，RPN 主要发生在哺乳期和妊娠期患者中，漏诊可导致停止母乳喂养或使用抗真菌药物进行不当治疗。如果症状由寒冷诱发，伴有颜色改变，发生在妊娠或哺乳期间，或有雷诺氏病史，应高度怀疑该病。治疗通常为支持性治疗，对于严重病例可使用硝苯地平。
