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==Overview==
==Overview==
In most cases, patients may present a few days after delivery with localized breast complaints. The affected area is often close to the [[nipple]] and [[areola]] and commonly occurs on the upper inner side of the breast. The affected area usually occurs only on one [[breast]] and very rarely is the whole breast affected.
The most common symptoms of mastitis include: redness of the affected area, [[pain]] local to the affected area and local differential warmth.<ref name="pmid26426034">{{cite journal| author=Kent JC, Ashton E, Hardwick CM, Rowan MK, Chia ES, Fairclough KA et al.| title=Nipple Pain in Breastfeeding Mothers: Incidence, Causes and Treatments. | journal=Int J Environ Res Public Health | year= 2015 | volume= 12 | issue= 10 | pages= 12247-63 | pmid=26426034 | doi=10.3390/ijerph121012247 | pmc=4626966 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26426034}}</ref><ref name="pmid26169080">{{cite journal| author=An JK, Woo JJ, Lee SA| title=Non-puerperal mastitis masking pre-existing breast malignancy: importance of follow-up imaging. | journal=Ultrasonography | year= 2016 | volume= 35 | issue= 2 | pages= 159-63 | pmid=26169080 | doi=10.14366/usg.15024 | pmc=4825209 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26169080}}</ref>  Some patients may also experience [[Influenza|flu]]-like symptoms, such as [[aches]], [[shivering]] and [[chills]], although this is less common.
==History and Symptoms==
==History and Symptoms==
'''Nonpuerperal mastitis'''
* in most cases local to a part of breast, often close to the nipple and areola, more often the upper inner side of the breast. Rarely whole breast affected, mostly only one breast.
* redness of the area
* pain local to affected area
* diffuse density/palpable mass of varying volume
* local overwarming, hotspots (thermographically detectable)
* swollen lymph nodes on the affected side, rarely both sides
* inflammation intensity can be repeatedly flaring up and down
* abscess


Systemic (flu like) symptoms like in puerperal mastitis are rare.
In most cases, patients may present a few days after delivery with localized breast complaints. The affected area is often close to the nipple and areola and commonly occurs on the upper inner side of the breast. The affected area usually occurs only on one breast and very rarely is the whole breast affected.
 
===Most common symptoms===
 
The most common symptoms of mastitis include:<ref name="pmid26426034">{{cite journal| author=Kent JC, Ashton E, Hardwick CM, Rowan MK, Chia ES, Fairclough KA et al.| title=Nipple Pain in Breastfeeding Mothers: Incidence, Causes and Treatments. | journal=Int J Environ Res Public Health | year= 2015 | volume= 12 | issue= 10 | pages= 12247-63 | pmid=26426034 | doi=10.3390/ijerph121012247 | pmc=4626966 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26426034}}</ref><ref name="pmid26169080">{{cite journal| author=An JK, Woo JJ, Lee SA| title=Non-puerperal mastitis masking pre-existing breast malignancy: importance of follow-up imaging. | journal=Ultrasonography | year= 2016 | volume= 35 | issue= 2 | pages= 159-63 | pmid=26169080 | doi=10.14366/usg.15024 | pmc=4825209 | url=http://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=26169080}}</ref>
*[[Redness of the skin|Redness]] of the affected area,
*[[Pain]] local to affected area
*[[Diffuse]] density/[[palpable]] mass of varying volume
*Local differential warmth
*Swollen [[lymph nodes]] on the affected side, rarely both sides


Special forms of mastitis like '''subareolar abscess''' can show rare symptoms like nipple retraction and skin dimpling.
===Less common symptoms===


Mammography and symptoms allone never allow reliable exclusion of [[breast cancer]].
Some patients may also experience [[Influenza|flu]]-like symptoms such as:
Mastitis may also mimic several typical signs of malignancy on mammography.
*[[Aches]]
*[[Shivering]]
*[[Chills]]
*Feeling [[anxious]] or stressed
*[[Fatigue (medical)|Fatigue]]


==References==
==References==
{{reflist|2}}
{{reflist|2}}


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[[Category:Dermatology]]
[[Category:Needs overview]]
[[Category:Emergency mdicine]]
[[Category:Disease]]
[[Category:Disease]]
[[Category:Up-To-Date]]
[[Category:Infectious disease]]
[[Category:Infectious disease]]
[[Category:Gynecology]]
[[Category:Surgery]]

Latest revision as of 22:38, 29 July 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Prince Tano Djan, BSc, MBChB [2]

Overview

In most cases, patients may present a few days after delivery with localized breast complaints. The affected area is often close to the nipple and areola and commonly occurs on the upper inner side of the breast. The affected area usually occurs only on one breast and very rarely is the whole breast affected.

The most common symptoms of mastitis include: redness of the affected area, pain local to the affected area and local differential warmth.[1][2] Some patients may also experience flu-like symptoms, such as aches, shivering and chills, although this is less common.

History and Symptoms

In most cases, patients may present a few days after delivery with localized breast complaints. The affected area is often close to the nipple and areola and commonly occurs on the upper inner side of the breast. The affected area usually occurs only on one breast and very rarely is the whole breast affected.

Most common symptoms

The most common symptoms of mastitis include:[1][2]

  • Redness of the affected area,
  • Pain local to affected area
  • Diffuse density/palpable mass of varying volume
  • Local differential warmth
  • Swollen lymph nodes on the affected side, rarely both sides

Less common symptoms

Some patients may also experience flu-like symptoms such as:

References

  1. 1.0 1.1 Kent JC, Ashton E, Hardwick CM, Rowan MK, Chia ES, Fairclough KA; et al. (2015). "Nipple Pain in Breastfeeding Mothers: Incidence, Causes and Treatments". Int J Environ Res Public Health. 12 (10): 12247–63. doi:10.3390/ijerph121012247. PMC 4626966. PMID 26426034.
  2. 2.0 2.1 An JK, Woo JJ, Lee SA (2016). "Non-puerperal mastitis masking pre-existing breast malignancy: importance of follow-up imaging". Ultrasonography. 35 (2): 159–63. doi:10.14366/usg.15024. PMC 4825209. PMID 26169080.

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