Sudden Skin Lesion Below Nipple: Causes and Concerns - Breast and Thyroid

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Sudden appearance of small abrasions around the breast?


I have some concerns because I have never experienced this before.
Two days before my period started, I suddenly noticed a red spot on the skin just below my nipple that looks like it could bleed if scratched.
My recent sleep schedule has been irregular, and I would like to know if this could be related.
Thank you.

Nini, 20~29 year old female. Ask Date: 2017/01/25

Dr. Wu Jianting reply Breast and Thyroid


Please monitor the healing of the wound.
If it has not healed after two weeks, please visit the outpatient clinic for an examination.
Your age indicates that the risk of breast cancer is low.
If you have any questions, please visit the outpatient clinic for a personal consultation.

Reply Date: 2017/01/25

More Info


Sudden skin lesions can be concerning, especially when they appear unexpectedly and are accompanied by symptoms such as redness and potential bleeding. In your case, the lesion located below the nipple that resembles a broken skin area could have several potential causes. It is important to consider various factors that might contribute to this condition.

One possible explanation for the sudden appearance of a skin lesion is irritation or friction. This can occur due to clothing, particularly if you have been wearing tight or rough fabrics that may rub against the skin. Additionally, hormonal changes associated with your menstrual cycle can lead to increased sensitivity or changes in the skin, making it more prone to irritation or inflammation.

Another possibility is that the lesion could be a form of dermatitis, which is an inflammation of the skin. Contact dermatitis, for instance, can occur when the skin comes into contact with an irritant or allergen. This could be due to new skincare products, laundry detergents, or even body lotions that may not agree with your skin. If you have recently changed any products or routines, this could be a contributing factor.

Infections are also a consideration. Bacterial or fungal infections can manifest as red, inflamed areas on the skin, and they may sometimes resemble broken skin. If the area is warm, swollen, or producing any discharge, it would be wise to consult a healthcare professional for a proper diagnosis and treatment.

Stress and changes in your lifestyle, such as irregular sleep patterns, can also impact your skin health. Stress can exacerbate skin conditions, leading to flare-ups or new lesions. It is essential to maintain a balanced lifestyle, including adequate sleep, hydration, and nutrition, to support overall skin health.

Given that the lesion is located in a sensitive area, it is advisable to avoid picking at it, as this can lead to further irritation or infection. Instead, consider applying a gentle moisturizer to keep the area hydrated, but avoid any products that contain harsh chemicals or fragrances that could worsen the irritation.

If the lesion does not improve within a few days, or if it worsens, it is crucial to seek medical attention. A dermatologist can provide a thorough examination and may perform tests to determine the exact cause of the lesion. They can also recommend appropriate treatments, which may include topical steroids, antibiotics, or antifungal medications, depending on the diagnosis.

In summary, while the sudden appearance of a skin lesion below the nipple can be alarming, it is essential to consider various potential causes, including irritation, dermatitis, infections, and lifestyle factors. Monitoring the lesion for changes and consulting a healthcare professional if it persists or worsens is the best course of action. Remember, early intervention can often lead to better outcomes in skin health.

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