Itchy Area Below Left Nipple: Possible Causes and Remedies

Itching below the left nipple?

Hello, doctor.
I am currently living abroad, and it is inconvenient for me to see a doctor.
I have mild seborrheic/atopic dermatitis, and recently I have experienced itching on the left nipple.
After observing for several days, the appearance of the breast seems normal, there is no discharge from the nipple, and no wounds.
If I do not scratch, there is no redness or swelling (I used to scratch, but I stopped because I was afraid of breaking the skin).
There is a small red area below the left nipple that itches; the itching is tolerable, sometimes it itches and sometimes it does not.
Could this be nipple eczema? I have searched for information on itchy nipples, but most of the titles are sensational or related to Paget's disease, which makes me a bit worried.
Additionally, I brought some skin creams from Taiwan, such as Meikang, Belogyi, and Aifumei.
Can I use these? Or is there something I can buy at a pharmacy to apply? Thank you for your response.

S, 30~39 year old female. Ask Date: 2020/06/30

Dr. Yuan Tianmin reply Breast and Thyroid

These ointments should be usable if they contain steroids.

Reply Date: 2020/06/30

More Info

Itchy areas below the nipple can be concerning, especially when accompanied by a history of skin conditions like seborrheic dermatitis or atopic dermatitis. Based on your description, it seems that you are experiencing localized itching and mild redness without any significant discharge or lesions, which is a positive sign. Here are some possible causes and remedies for your symptoms.

Possible Causes
1. Eczema or Dermatitis: Given your history of seborrheic and atopic dermatitis, it is possible that you are experiencing a flare-up in that area. Eczema can cause localized itching, redness, and irritation, especially in sensitive areas like the nipple.

2. Contact Dermatitis: This could occur if your skin has come into contact with an irritant or allergen, such as soaps, detergents, or even certain fabrics. If you've changed any products recently, consider reverting to your previous ones to see if symptoms improve.

3. Fungal Infection: Areas that are warm and moist can be prone to fungal infections, which can cause itching and redness. This is more common in skin folds but can occur in other areas as well.

4. Nipple Eczema: This is a specific form of eczema that affects the nipple area and can cause itching, redness, and sometimes flaking skin.

5. Other Skin Conditions: Conditions like psoriasis or even infections can also cause localized itching. However, the absence of significant symptoms like discharge or severe redness makes these less likely.

Remedies and Treatments
1. Topical Treatments: Since you have a history of dermatitis, using your existing creams like Meizitang, Betamethasone, or Avene can be beneficial. These creams can help reduce inflammation and soothe the skin. However, be cautious with steroid creams (like Betamethasone) as prolonged use can thin the skin, especially in sensitive areas.

2. Moisturizers: Regularly applying a fragrance-free moisturizer can help maintain skin hydration and reduce itching. Look for products specifically designed for sensitive skin.

3. Avoid Irritants: Identify and avoid any potential irritants. This includes harsh soaps, laundry detergents, or fabrics that may cause friction against the skin.

4. Antihistamines: If the itching is bothersome, over-the-counter antihistamines may help alleviate the symptoms.

5. Cool Compresses: Applying a cool, damp cloth to the affected area can provide immediate relief from itching and reduce inflammation.

6. Consult a Dermatologist: If symptoms persist or worsen, it is advisable to consult a dermatologist. They can provide a more accurate diagnosis and may prescribe stronger topical treatments or other therapies.

When to Seek Medical Attention
While your symptoms may not seem severe, it is essential to monitor them closely. If you notice any of the following, seek medical attention promptly:
- Increased redness or swelling
- Development of blisters or oozing
- Persistent itching that disrupts your daily life
- Any new symptoms that arise
In conclusion, while it is likely that your symptoms are related to your existing skin conditions, it is crucial to manage them carefully. Utilizing your existing creams, avoiding irritants, and maintaining skin hydration can help alleviate your symptoms. If the situation does not improve, consider seeking professional medical advice for a tailored treatment plan.

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