Aboud Ameer, Smith Andrew, Gumbs Shamon, Ramcharan Alexius
General Surgery, Columbia University College of Physicians and Surgeons, Harlem Hospital Center, New York, USA.
Cureus. 2022 Sep 7;14(9):e28904. doi: 10.7759/cureus.28904. eCollection 2022 Sep.
Zuska's breast disease is a rare disorder leading to recurring subareolar abscess typically in obese patients with a history of smoking. The pathophysiology is a combination of ductal obstruction from squamous metaplasia and infection usually by anaerobic and gram-positive bacteria. Zuska's breast disease does not have a single standardized treatment partly attributed to the lack of physician awareness of the disorder. The initial management should include smoking cessation, anaerobic and gram-positive antibiotic coverage, and drainage of abscesses if present.
祖斯卡乳腺病是一种罕见疾病，通常在有吸烟史的肥胖患者中导致乳晕下脓肿反复发作。其病理生理学是鳞状化生引起的导管阻塞与通常由厌氧菌和革兰氏阳性菌引起的感染共同作用的结果。祖斯卡乳腺病没有单一的标准化治疗方法，部分原因是医生对该疾病缺乏认识。初始治疗应包括戒烟、覆盖厌氧菌和革兰氏阳性菌的抗生素治疗，以及如有脓肿则进行引流。
