Breast Problems Specific to Pregnancy and the Peripartum Period
Mastitis is the most common serious breast problem related to pregnancy and usually occurs around 4 weeks postpartum. The problem is rarely seen during the first 2–3 weeks postpartum and is uncommon after 5 weeks. Fever, erythema, and tenderness are noted, with the erythema usually confined to the area of a single breast lobule. The differential diagnosis includes breast engorgement, which is almost always bilateral, and the rare inflammatory carcinoma. In the latter case the erythema and induration are usually more diffuse and skin changes are more common. The principal clue, however, is its failure to respond to antibiotic therapy.
KeywordsBreast Cancer Nipple Discharge Reduction Mammoplasty Granulomatous Mastitis Peripartum Period
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