Montgomery's tubercles have white granules.

White granules on Montgomery's tubercles may result from non-disease factors such as blocked Montgomery glands, or from medical conditions such as sebaceous cysts or folliculitis. It is recommended to improve the condition by adjusting lifestyle habits under a doctor's guidance and, if necessary, using appropriate medications for treatment.

I. Non-disease Factors

The Montgomery glands surrounding the Montgomery's tubercles secrete a small amount of fluid that helps moisturize the nipple and areola. When these glands become blocked, white granules may appear on the areola. This condition typically does not require treatment. Maintaining good hygiene, keeping the area clean, and changing clothes regularly can help resolve the issue gradually on its own.

II. Disease Factors

1. Sebaceous Cyst

Sebaceous cysts are usually caused by bacterial infection or other factors. Symptoms commonly include redness, swelling, pain around the Montgomery's tubercles, and the appearance of white granules. Under medical guidance, treatment may involve medications such as amoxicillin capsules or roxithromycin ointment.

2. Folliculitis

Folliculitis in the area of Montgomery's tubercles may occur due to bacterial infection or blockage of hair follicles by secretions. Common symptoms include itching and white granules at the follicular sites. Treatment under a doctor’s supervision may include erythromycin soft capsules or mupirocin ointment.

Patients are advised to get adequate rest and ensure sufficient sleep. Diet should be light, emphasizing fresh fruits and vegetables, while avoiding spicy, stimulating, and greasy foods.