Successful management of a breastfeeding mother with severe eczema of the nipple beginning from puberty:A case report  

作　　者：Rui Li Li-Xia Zhang Ce Tian Liang-kun Ma Ying Li 

机构地区：[1]National Clinical Research Center for Obstetric&Gynecologic Diseases,Department of Obstetrics and Gynecology,Peking Union Medical College Hospital,Chinese Academy of Medical Sciences&Peking Union Medical College,Beijing 100730,China

出　　处：《World Journal of Clinical Cases》2022年第28期10155-10161,共7页世界临床病例杂志

基　　金：Supported by the CAMS Innovation Fund for Medical Sciences(CIFMS),No.2021-I2M-1-023。

摘　　要：BACKGROUND Nipple eczema is the most common presentation of atopic dermatitis of the breast,which seriously influences breastfeeding of mothers.We here present a case of severe nipple eczema that started in puberty and received continuous care and interventions during pregnancy.The patient succeeded in breastfeeding after the interventions.CASE SUMMARY A 36-year-old woman at 16 wk of gestation(gestation 1 parturition 0),visited the breastfeeding consultation clinic,complaining of excessive nipple secretion,severe itching,and concerns about breastfeeding.She was diagnosed with severe nipple eczema.Health education,consultation with dermatologists,topical medication,psychological support,and postpartum care were carried out.Through continuous interventions,her nipple eczema significantly improved,lactating confidence enhanced,anxiety symptoms were reduced,and exclusive breastfeeding was achieved.CONCLUSION For lactating women with nipple eczema,breastfeeding consultants should play an important role in patient education and provide whole-process and individual guidance.

关 键 词：Atopic dermatitis Breast feeding Breastfeeding consultation Case report 

分 类 号：R473.71[医药卫生—护理学]