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乳头雷诺现象:一例临床病例报告

Raynaud Phenomenon of the Nipple: A Clinical Case Report.

作者信息

Quental Carolina, Brito Daniel Bertoluci, Sobral João, Macedo Ana Mafalda

机构信息

Family Health Unit, Prelada, Porto, Portugal.

Family Health Unit, Espaço Saúde, Porto, Portugal.

出版信息

J Family Reprod Health. 2023 Jun;17(2):113-115. doi: 10.18502/jfrh.v17i2.12876.

DOI:10.18502/jfrh.v17i2.12876
PMID:37547779
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10397528/
Abstract

OBJECTIVE

In Raynaud's phenomenon of the nipple there is a change in color, accompanied by pain or discomfort during breastfeeding.

CASE REPORT

A 29-years old female patient, breastfeeding, develops a severe bilateral nipple pain during and after breastfeeding and biphasic change in nipple color, with difficulties in the breastfeeding technique. She was medicated with nifedipine and recommended application of warm compresses to the nipples and use of electric breast pump, showing complete resolution after four weeks of treatment.

CONCLUSION

Raynaud's phenomenon of the nipple should be considered in breastfeeding women who report nipple pain or discomfort. In clinical practice, nipple pain is a very frequent complaint, and responsible for many cases of early abandonment of breastfeeding. It is therefore essential to make an early diagnosis and implement a correct and immediate treatment.

摘要

目的

乳头雷诺现象表现为颜色改变,且在母乳喂养期间伴有疼痛或不适。

病例报告

一名29岁的哺乳期女性患者,在母乳喂养期间及之后出现双侧乳头剧痛,乳头颜色呈双相变化,母乳喂养技巧存在困难。她接受了硝苯地平治疗,并被建议对乳头进行热敷以及使用电动吸奶器,治疗四周后症状完全缓解。

结论

对于报告有乳头疼痛或不适的哺乳期女性,应考虑乳头雷诺现象。在临床实践中,乳头疼痛是非常常见的主诉,也是导致许多早期放弃母乳喂养的原因。因此,早期诊断并实施正确、及时的治疗至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fe1/10397528/62a9cf9cab6c/JFRH-17-113-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fe1/10397528/62a9cf9cab6c/JFRH-17-113-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fe1/10397528/62a9cf9cab6c/JFRH-17-113-g001.jpg

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引用本文的文献

1
Raynaud's Phenomenon of the Nipple: Epidemiological, Clinical, Pathophysiological, and Therapeutic Characterization.乳头雷诺现象:流行病学、临床、病理生理和治疗特征。
Int J Environ Res Public Health. 2024 Jun 28;21(7):849. doi: 10.3390/ijerph21070849.

本文引用的文献

1
Raynaud phenomenon of the nipple in breastfeeding mothers: an underdiagnosed cause of nipple pain.哺乳期母亲乳头雷诺现象:一种被低估的乳头疼痛病因。
JAMA Dermatol. 2013 Mar;149(3):300-6. doi: 10.1001/jamadermatol.2013.1560.
2
Lactation and neonatal nutrition: defining and refining the critical questions.哺乳和新生儿营养:定义和完善关键问题。
J Mammary Gland Biol Neoplasia. 2012 Jun;17(2):167-88. doi: 10.1007/s10911-012-9261-5. Epub 2012 Jul 1.
3
Raynaud's phenomenon of the nipple.乳头雷诺现象。
Obstet Gynecol. 2012 Feb;119(2 Pt 2):447-449. doi: 10.1097/AOG.0b013e31822c9a73.
4
Raynaud's phenomenon of the nipples: an elusive diagnosis.乳头雷诺现象:一种难以捉摸的诊断。
J Hum Lact. 2007 May;23(2):191-3. doi: 10.1177/0890334407300018.
5
Raynaud's phenomenon of the nipple: a treatable cause of painful breastfeeding.乳头雷诺现象:母乳喂养疼痛的一个可治疗病因。
Pediatrics. 2004 Apr;113(4):e360-4. doi: 10.1542/peds.113.4.e360.
6
Nipple vasospasms, Raynaud's syndrome, and nifedipine.乳头血管痉挛、雷诺综合征与硝苯地平。
J Hum Lact. 2002 Nov;18(4):382-5. doi: 10.1177/089033402237913.