Rash and nipple discharge affecting both breasts
October 15, 2008
Hi there, I’m 20 years old. Both my left and right breasts seems to have some sort of an infection. On the left breast, it’s a reddish rash and seems to be spreading. On the right breast, the areola seems to be in a cycle of drying & peeling (i dont know whether it’s counted as “scaly”).
When i did i a slight squeeze on both breast, there’s a colourless fluid coming out. I’m really scared on whether it’s breast cancer or is it piaget’s disease. Should i do a mammography or go for a check up?
Please advise!! Thanks alot!
THE BREAST DOCTORS SAY:
Bilateral nipple rash is commonly an atopic condition, especially if you are constantly exposed to an irritant that you are sensitive to e.g. synthetic materials, fragrance etc. It can extend over a larger area with time especially if chronic self-medication further exposes you to ingredients in over-the-counter products that you are sensitive to. Other possible causes are bacterial or fungal infections. I would advise a consult with a skin specialist who can exclude the infective conditions before prescribing the appropriate steroid creams to treat your condition. While Pagets disease of the breast can present as an unresolving nipple rash despite appropriate treatment, it is an uncommon presentation and usually does not involve both breasts. As for the colourless discharge from both breasts on expression, this can be normal for a percentage of females especially during periods of hormonal fluctuations. This should not cause alarm.
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