[I apologize for the blurry picture. The battery was low and would not allow me to use macro function -- but you can get the idea.]
I think this is psoriasis of areolae caused by the trauma of nursing. The question is how to treat. The young mother wants to continue breast feeding for a few more months.
How would you treat the aroelae and nipples considering that a baby will be sucking on the area?
I would try a dilute topical steroid such as 1% hydrocortisone first with the cream being washed off before a feed and applied again immediately afterwards. If there is any suggestion of associated candida then add in some clotrimazole cream. The combination usually works well and is not toxic to the baby.
ReplyDeleteAgree with the diagnosis and suggested therapy. I've seen many cases of psoriasis aggravation during puerperium period. I beleive hormones definetly play some role in psoriasis. Cheers,
ReplyDeleteOmid
you can try "APNO" (all-purpose nipple ointment); see http://www.breastfeed-essentials.com/allaboutcreams.html
ReplyDeletefor more details
I Think fondle these boobs a lot because she is a single mother and none should help her except the baby's Father.
ReplyDeletei'd say a big load of seminal fluid would do the trick.
ReplyDelete