Eczematous Lesion of Nipple and Areola Treated with Individualised Homoeopathic Treatment

Abstract

Breast and nipple–areolar complex has its own functional, sexual and cosmetic values. The skin around nipple and areola is prone to develop several kinds of infections during different stages of life ranging from mild-to-moderate dermatitis to neoplastic growths. Lack of knowledge of the patients about breast hygiene and the spectrum of the breast diseases among medical practitioners renders prompt diagnosis; hence, it develops several complications from its own array. Apparently, an uncommon presentation of dermatitis sometimes causes several complications at different stages of life and mostly during the period of lactation where the newborn suffers as a consequence of mother's illness. In this case, a female patient approached our outpatient department with complaints of itching and burning of nipple and areola with occasional discharge, which was diagnosed as eczema of nipple and areola after clinical examination. Initially, we started our treatment with Sulphur 30 and from then patient showed gradual improvement. Within a period of 1 month, patient showed promising improvement and it took 2 more months to subside other residual complaints. This case report not only portrays effectiveness of individualised homeopathy but also focuses on the cost-effectiveness of homeopathic treatments.

Keywords

atopic dermatitis - nipple and areola - eczema of breast - individualisation - homoeopathy

Publication History

Article published online:
17 June 2021

• Reference

• 1 Werfel T, Heratizadeh A, Aberer W. et al. S2k guideline on diagnosis and treatment of atopic dermatitis - short version. Allergo J Int 2016; 25: 82-95
• 2 William D. James, Timothy G Burger, Dirk M Elston. Andrews' Diseases of the Skin; 16E; 62-70
• 3 Hanifin JM, Rajka G. Diagnostic features of atopic dermatitis. Acta Derm Venereol 1980; 60: 44-47
• 4 Ward KA, Burton JL. Dermatologic diseases of the breast in young women. Clin Dermatol 1997; 15 (01) 45-52
• 5 Amir L. Eczema of the nipple and breast: a case report. J Hum Lact 1993; 9 (03) 173-175
• 6 Rudzki E, Samochocki Z, Litewska D, Rebandel P, Saciuk E, Raczka A. Clinical features of atopic dermatitis and a family history of atopy. Allergy 1991; 46 (02) 125-128
• 7 Wright AL, Holberg CJ, Taussig LM, Martinez FD. Factors influencing the relation of infant feeding to asthma and recurrent wheeze in childhood. Thorax 2001; 56 (03) 192-197
• 8 Sears MR, Greene JM, Willan AR. et al. Long-term relation between breastfeeding and development of atopy and asthma in children and young adults: a longitudinal study. Lancet 2002; 360 (9337): 901-907
• 9 Oberle D, Von Kries R, Von Mutius E. Asthma and breast feeding. (Letter) Thorax 2001; 56 (11) 896
• 10 Wright AL, Sherrill D, Holberg CJ, Halonen M, Martinez FD. Breast-feeding, maternal IgE, and total serum IgE in childhood. J Allergy Clin Immunol 1999; 104 (3 Pt 1): 589-594
• 11 Bergmann RL, Diepgen TL, Kuss O. et al; MAS-study group. Breastfeeding duration is a risk factor for atopic eczema. Clin Exp Allergy 2002; 32 (02) 205-209
• 12 Miyake Y, Yura A, Iki M. Breastfeeding and the prevalence of symptoms of allergic disorders in Japanese adolescents. Clin Exp Allergy 2003; 33 (03) 312-316
• 13 Bieber T. Atopic dermatitis. N Engl J Med 2008; 358 (14) 1483-1494
• 14 Grewe M, Bruijnzeel-Koomen CA, Schöpf E. et al. A role for Th1 and Th2 cells in the immunopathogenesis of atopic dermatitis. Immunol Today 1998; 19 (08) 359-361
• 15 Bellavite P, Conforti A, Pontarollo F, Ortolani R. Immunology and homeopathy. 2. Cells of the immune system and inflammation. Evid Based Complement Alternat Med 2006; 3 (01) 13-24
• 16 Handa S, Jain N, Narang T. Cost of care of atopic dermatitis in India. Indian J Dermatol 2015; 60 (02) 213