nipple eczema
Introduction
Introduction Eczema is a superficial dermis and epidermal inflammation caused by a variety of internal and external factors. The etiology of the disease is complex and generally believed to have a certain relationship with allergies. Its clinical manifestations are characterized by symmetry, exudation, pruritus, pleomorphism and recurrence. Traditional Chinese medicine collectively refers to the disease as wet sore. According to the characteristics of its location and nature, it has different names, such as soaking sore, blood wind sore or sea sore, spinch sore, Vortex sore, "nipple wind", "umbilical sore", "kidney wind" and "four bends".
Cause
Cause
The cause of the disease is complex, and there is no final conclusion. It is generally considered to be closely related to the allergic quality of the body. These patients are highly sensitive to certain substances and can cause eczema whenever they are exposed to allergens. Its tribute substance can come from the body or from outside the body.
External causes: such as living environment, climatic conditions (cold, hot), ultraviolet radiation, dry skin, sweating, scratching, rubbing, silk, various animal skins, topical drugs, certain soaps, cosmetics, dyes and artificial Eczema can be induced by stimulation of fibers and the like.
Internal causes include: chronic digestive diseases and endocrine dysfunction and other internal lesions, parasites, certain foods such as fish, shrimp, etc., some internal medications, insomnia, mental stress, overwork, etc., can occur or aggravate breasts eczema. The occurrence of this disease is mainly due to the internal cause and quality.
Examine
an examination
Related inspection
Breast palpation breast examination blood routine
According to the clinical manifestations, the characteristics of skin lesions and histopathological features can be diagnosed. The disease is rare, mainly found in middle-aged women, but also in men. Early nipple erosion, inflammation, often have serous exudation. In the early stage of erosion, it is clinically indistinguishable from breast eczema-like cancer. When the late nipple is nodular, it is easy to differentiate from breast eczema-like cancer. According to the clinical manifestations, the characteristics of skin lesions and histopathological features can be diagnosed.
Diagnosis
Differential diagnosis
The initial symptoms of nipple eczema are similar to breast eczema, such as dense miliary rash or small blisters, flushing of the skin base, erosion, scab, desquamation and itching. However, the two have great differences in prognosis and treatment, so it is necessary to identify the two in the early stage of the disease, so as not to delay the disease.
To correctly distinguish the two can start from the following aspects:
1, age of onset: breast eczema is more common in young women, especially lactating women, due to breast stimulation and more common; and nipple eczema-like cancer is more common in middle-aged and older women, the average age of onset is about 50 years old.
2, clinical signs: nipple eczema-like cancer in addition to local eczema, about 2 / 3 of the patients can be found near the areola or other parts of the breast, and breast eczema will not appear breast lumps.
3, the disease development: breast eczema patients generally self-healing, and nipple eczema-like cancer patients will have skin erosion, and no self-healing tendency, and with the progress of the disease, the nipple can be retracted or fixed, the nipple part or all rotted .
4, lymph nodes: most patients with nipple eczema-like cancer can reach the swollen and hard lymph nodes in the armpit, while the axillary lymph nodes secondary to breast eczema patients, the texture is not hard, and the activity is large.
5, cytology examination: nipple eczema-like cancer patients do smear cytology examination, you can see cancer cells.
