Hello,
My wife is having similar issues with her nipples and areolas as well as her vulva itching. Poor thing. We have been to the doctor several times, each returning limited or no success in relieving her symptoms. She has had a biopsy that returned negative results for cancer or fungus, however, she was diagnosed with eczema or contact dermatitis. The doc currently has her on a 10 day steroid treatment that has also yielded negligible results. She is 44 years old, has 2 children and is not yet menopausal. Her nipples appear dry and have thin scaly dry skin. It is worse at night. We were advised against using Hydrocortizone for it, since it can cause the skin in the area to atrophe if used for an extended period. We have used the lanolin nipple cream (Walmart Baby section, near the baby bottles and nursing supplies) it has provided some, but not much relief. There has been no change in diet, clothing, soaps or lotion prior to the onset of her symptoms. The weather is hot ans humid, so it's not winter itch. We are at wits end. She has a follow-up visit next week, hopefully her Doc has been doing some research and found a miricle cream. Lets hope. If she finds anything that provides significant relief, I'll pass the info along... Please do the same. Good luck ladies.
I located information on Paget's disease. It is a form of breast cancer that effects the nipple. According to Beckman et al.(2006) "Paget's disease presents as a superficial skin lesion similar to eczema" (pg 325). More indepth information from Youngkin & Davis (2004) goes further to explain that this type of cancer of the nipple is "almost always associated with an underlying intraductal carcinoma and frequently with a long history of eczema of the nipple with itching, burning, oozing, erythema, crusting or bleeding" (pg 372).
The literature goes on to say that Paget's disease of the nipple may heal between episodes of excoriation and a recent history of excoriation is also an indication for biopsy. I think it is important for your many participants who have described this condition in their breasts who were told that it "looks like eczema," to inquire of the provider if it could be Paget's disease, and if a biopsy to either diagnose or rule it out is appropriate.
Thanks,
Samds
Thanks for the support? I have been searching the EBSCOhost, CINHAL, Nursing Journals, AMA, and a host of other sites, this is how I know that it may be hormonal related. So I thought maybe your "support" group had supported women with this problem, by either searching for some valid information before offering support?
Apparently, I must be at the wrong site. Thanks for your response. I will continue my independent search, and will be happy to post my results.
Have a blessed day.
Samds
Hi - here I go again on my crusade about public libraries! I wondered if you are near a public library that might provide access to some online databases like EBSCOHost? My public library provides access to library card holders and you can even access it from home. That database gives you access to a wealth of information resources. Medline Plus or Pub Med may be other ones you could try for research studies. You never know about the variety of research studies that may have been funded! Take care, Kay