Postpartum Itchy Rash on Breasts

[berger416]

I have a rash on my breasts, mainly on the top parts but also the undersides (but not in areolas or nipples and not in creases). I've had this for about 3 weeks if I remember right. I'm nursing my newborn (almost 4 weeks old.) This is the only place I have the rash. It's not related to a change in fabrics or detergents, and my bras are not too tight or rubbing.  Also, it's not from sweating. I've used hydrocortisone 1% and triamcinalone (prescription) creams with some relief, but I want to make it go away as it's really itchy. It doesn't seem to be spreading to other parts of my body or to the baby. Has anyone else experienced or heard of something like this?

[Vanessa Lacuesta]

Hi,

Have you ever had this rash before?

Do you have a similar rash in other parts of the body?

Would you be able to describe this rash?

Is this dry and scaling?

Or is this weeping and excoriated?

Is this reddish, brownish or violaceous in color?

Are you currently taking any medications ?

Do you have any known allergies?

I will appreciate your answers to my questions as to clarify some points.

[berger416]

Hi, here are the answers to your questions. Thanks!

Have you ever had this rash before? no

Do you have a similar rash in other parts of the body? no

Would you be able to describe this rash? mainly itchy, with small bumps that turn red when I scratch. Benadryl cream seems to help. It doesn't cover the entire breast, just a couple of sections.

Is this dry and scaling? no

Or is this weeping and excoriated? no

Is this reddish, brownish or violaceous in color? see description

Are you currently taking any medications ? just multivitamins, same one for a while now with no previous reaction.

Do you have any known allergies? molds, ragweed, some pollens, sulfa drugs, other mild environmental ones that have never been symptomatic but appeared during testing.

[Vanessa Lacuesta]

Hi,

I am thinking that this could be something hormone related .However,the presence of small reddish bumps on the skin may suggest probably a dermatitis or a fungal infection.These are the more common causes of itchiness associated with reddish skin bumps or rash.

This may not immediately resolve if this is a case of eczema or dermatitis. I suggest that you discuss with your physician prescriber if taking oral antihistamines at this point may help.Prolonged use of corticosteroids may not be advisable in your case if you are breastfeeding.

Do discuss this with your physician. Dermatitis and other eczematous diseases are inflammatory in nature and have been associated with hormonal changes and stress related factors.

Try to observe your symptoms as you continue your medications under close physician supervision.

[berger416]

Thank you, I wondered also if it could be hormone related. I'll check with a dr.