Skin Concerns: Breast and Nipple Issues - Dermatology

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Chest issues, skin problems?


Hello doctor, it has been about a week since I first noticed a small, slightly raised, red and swollen area about 0.5 cm next to my nipple while taking a shower.
I squeezed it and found pus coming out.
After showering, I applied acne medication and used acne patches in the morning, but there has been no improvement after three days.
When I removed the patch to shower, there was still some blood coming out—not a lot, but it was consistent.
A friend of mine, who has many allergy medications, gave me a topical treatment for common acne, which I have been using for two to three days.
I just checked, and there is still some pus and blood (I apply the medication and then put on the patch).
Should I seek medical attention, or continue using the medication for a while? I read online that someone had a pimple on their nipple and was later diagnosed with breast cancer, which has made me very anxious.

Miss Zhong, 10~19 year old female. Ask Date: 2023/10/27

Dr. Li Yufen reply Dermatology


Hello: If you have sudden red swollen lumps that are purulent and bleeding, the likelihood of an acute bacterial infection is higher.
It is recommended to consult a nearby dermatologist for diagnosis and treatment.
If the treatment response is poor, further examinations to rule out breast cancer may be necessary.
Thank you!

Reply Date: 2023/10/27

More Info


It sounds like you're experiencing a range of concerning symptoms related to your breast and nipple area, and it's understandable to feel anxious about these changes. Let's break down your concerns and provide some clarity on what might be happening and what steps you should consider taking.


Understanding Your Symptoms
1. Nipple and Areola Changes: The changes you've described, such as redness, swelling, and the presence of pus or blood, could indicate an infection or inflammation. Conditions like folliculitis (inflammation of hair follicles) or an abscess (a collection of pus) can occur in the nipple area. These conditions can be exacerbated by friction from clothing or irritation from products applied to the skin.

2. Skin Sensitivity and Dryness: You mentioned experiencing dryness and sensitivity, which can lead to itching and discomfort. This is often seen in conditions like eczema or contact dermatitis, especially if you have a history of atopic dermatitis. The skin in the breast area can be particularly sensitive, and factors such as hormonal changes, friction, and the use of certain products can contribute to these symptoms.

3. Hormonal Fluctuations: Hormonal changes, especially around your menstrual cycle, can cause breast tenderness and changes in the skin's appearance. This is a common experience for many women and can lead to increased sensitivity and discomfort.

4. Concerns About Cancer: It's natural to worry about serious conditions like breast cancer, especially when experiencing unusual symptoms. However, most breast changes, particularly in younger individuals, are often benign. That said, persistent changes, especially those that do not improve with home treatment, warrant further evaluation.


Recommended Actions
1. Consult a Healthcare Professional: Given that your symptoms have persisted for over a week and include the presence of pus and blood, it is advisable to see a healthcare provider. A dermatologist or a breast specialist can perform a thorough examination, possibly including imaging studies or cultures, to determine the exact cause of your symptoms.

2. Avoid Self-Medicating: While it may be tempting to continue using over-the-counter acne treatments or other topical medications, these may not be appropriate for your specific condition and could potentially worsen the situation. It's best to wait for a professional evaluation before applying any further treatments.

3. Monitor Symptoms: Keep track of any changes in your symptoms, including the size of the lesion, any new symptoms, or changes in pain levels. This information will be helpful for your healthcare provider.

4. Practice Good Hygiene: Ensure that the area is kept clean and dry. Avoid tight clothing that may cause friction, and consider using gentle, fragrance-free products to minimize irritation.

5. Stay Informed: While it's good to seek information online, be cautious about the sources you consult. Not all information is accurate, and self-diagnosing can lead to unnecessary anxiety. Rely on professional medical advice for your health concerns.


Conclusion
In summary, while your symptoms may be concerning, many breast and nipple issues are treatable and not indicative of serious conditions like cancer, especially in younger individuals. However, given the persistence and nature of your symptoms, a visit to a healthcare professional is warranted. They can provide a proper diagnosis and treatment plan tailored to your needs. Remember, early intervention is key to addressing any health concerns effectively.

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