# Breast and Nipple Dermatoses During Lactation

## TL;DR

This paper discusses common skin conditions affecting breasts and nipples during breastfeeding and provides guidance on their diagnosis and treatment.

## Contribution

The paper reviews the safety of dermatological treatments for breastfeeding mothers, a unique and under-addressed consideration.

## Key findings

- Breast and nipple dermatoses are common during lactation and can be caused by eczema, psoriasis, and infections.
- Management must consider the safety of medications for both the mother and the breastfeeding infant.
- A comprehensive approach is needed to address both the physical and psychological challenges of breastfeeding.

## Abstract

Lactation and breastfeeding can present both psychological and physical challenges for breastfeeding mothers. In addition, many nursing mothers will also suffer from breast and nipple dermatoses during this period, compounding these difficulties. Common causes of breast and nipple dermatitis during lactation include eczema, psoriasis, mastitis, mammary Paget's disease, Raynaud's phenomenon, and herpes virus infection, all of which may arise or be exacerbated during breastfeeding. This article summarises the common causes of breast and nipple dermatitis during lactation, as well as their investigation and management. In addition, we review the safety of common dermatological medications in this population, accounting for the unique consideration of the breastfeeding infant.