Dr. Payal Chauhan
Dermatology
The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.
Answered by
Medically reviewed by
Patient's Query
Hello doctor,
I have dry, cracked nipples and not sure if it is normal.
Hello,
Welcome to icliniq.com.
I understand your concern. Looking at the photograph (attachment removed to protect patient identity), there can be two differentials, nipple eczema or Paget's disease of the breast. Pagets is a more severe condition out of this, so I would recommend a skin biopsy as soon as possible to rule it out.
Patient's Query
Thank you doctor,
It affects both breasts and has been like this for a long time. E45 helps reduce the build-up of dry skin, but it still looks cracked even after moisturizing a lot. I have never had eczema and do not suffer from dry skin. Could it be a yeast infection? I thought Pagets only affects one breast. I have it on both, so does this rule Pagets out?
Hi,
Welcome back to icliniq.com.
Yes, it is extremely rare for Pagets to be bilateral but reported. Differentials would be eczema and Pagets lower down, but you should go for a biopsy if it is not improving. Try taking weekly Fluconazole 150 gram for two weeks. If not already tried and a combination of Clotrimazole with Beclomethasone like Candid-B cream for 10 to 14 days will cover both eczema and possible fungal infection. Fungal infection can easily be ruled out by a superficial KOH smear if available nearby. But yes, it is extremely rare for the Pagets to be bilateral. Only a few reports are there in the literature.
Patient's Query
Thank you doctor,
Try taking weekly Fluconazole 150 gram for two weeks, is it only one tablet a week?
Hi,
Welcome back to icliniq.com.
Yes, one tablet per week for two weeks. So total two tablets.
Was this conversation helpful?
Same symptoms don't mean you have the same problem. Consult a doctor now!
Dermatology
Related Questions
What can be done for itchiness in breast below nipple?
Does radiation therapy increase the risk of melanoma?
A piece of bone has protruded through my gums and is causing tongue ulcers. What to do?
My breast milk secretion reduced due to stress. How to increase the supply in natural way?
What can be the reason for cramps during pregnancy?
Why do I hear ringing noise and low-pitched humming alternatively?
Disclaimer: No content published on this website is intended to be a substitute for professional medical diagnosis, advice or treatment by a trained physician. Seek advice from your physician or other qualified healthcare providers with questions you may have regarding your symptoms and medical condition for a complete medical diagnosis. Do not delay or disregard seeking professional medical advice because of something you have read on this website. Read our Editorial Process to know how we create content for health articles and queries.
This website uses cookies to ensure you get the best experience on our website. iCliniq privacy policy
