[Mammary duct ectasia in children: A case report].

Autor: Zegpi MS; Departamento de Dermatología, Pontificia Universidad Católica de Chile, Santiago, Chile., Downey C; Departamento de Dermatología, Pontificia Universidad Católica de Chile, Santiago, Chile. Electronic address: camiladowney@gmail.com., Vial-Letelier V; Médico general, Universidad de los Andes, Santiago, Chile.
Jazyk: Spanish; Castilian
Zdroj: Revista chilena de pediatria [Rev Chil Pediatr] 2015 Jul-Aug; Vol. 86 (4), pp. 287-90. Date of Electronic Publication: 2015 Sep 09.
DOI: 10.1016/j.rchipe.2015.07.012
Abstrakt: Introduction: Bloody nipple discharge is an infrequent symptom during childhood. The most common cause in this population is mammary duct ectasia (MDE), which is a benign and self-limiting condition, that is characterized by dilatation of the mammary ducts, fibrosis and periductal inflammation.
Objective: Report of a case of MDE in order to improve physicians' diagnosis accuracy and avoid aggressive studies and treatments.
Case Report: Six-months old male healthy infant, exclusively breastfeeded, that visited our clinic with a lump beneath his right nipple and bloody discharge from the same nipple. An ultrasound was performed which showed a multicystic lesion suggestive of MDE. Watchful waiting was decided as treatment, with good evolution after six months of follow up.
Conclusions: The MDE is the leading cause of bloody discharge in pediatric population, being a benign condition that resolves spontaneously before nine months. The knowledge of this condition is essential so as to accurately diagnose and treat it.
(Copyright © 2015 Sociedad Chilena de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.)
Databáze: MEDLINE