Why does eczema of the areola become thickened and hardened?
Apr 25, 2022
Source: Cainiu Health
Dr. Liu Wan
Introduction
If a patient develops symptoms of mammary eczema, they should visit the dermatology department of a hospital for tests such as a complete blood count (CBC), allergen testing, or bacterial culture and antibiotic susceptibility testing. These examinations help clarify the nature of the condition and the patient’s overall health status. Based on the test results, the physician may prescribe antihistamines or corticosteroids to alleviate symptoms.
Mammary eczema commonly occurs in lactating women and refers to eczema affecting the breast area. Its primary manifestations include pruritus (itching) and pain involving the areola, nipple, and surrounding breast tissue, accompanied by localized erythema (redness), papules, and papulovesicles. The skin surface may become rough, exhibit excoriations (scratch marks) and scaling, and ultimately thicken and harden. Why does mammary eczema lead to skin thickening and induration?
Why Does Mammary Eczema Cause Skin Thickening and Induration?
Thickening and induration of the areolar skin in mammary eczema are typically triggered by repeated exposure to certain irritants—such as soaps—or may result from inherent abnormalities in cutaneous tolerance or sensitivity. Additionally, stimulation by breast milk or repeated physical trauma from infant suckling cannot be ruled out.
If a patient develops symptoms suggestive of mammary eczema, they should consult a dermatologist. Diagnostic evaluations—including complete blood count (CBC), allergen testing, and bacterial culture with antibiotic susceptibility testing—can help clarify the underlying pathology and overall health status. Based on test results and under physician guidance, symptomatic relief may be achieved using antihistamines or topical corticosteroids.
For individuals who are breastfeeding, it is essential to avoid medications that could be transferred to the infant via breast milk. Maintain meticulous local hygiene; avoid hot water washing or scratching the affected area; refrain from wearing overly tight undergarments; instead, opt for loose-fitting, soft, and breathable clothing. Diet should remain light and bland. We hope this information proves helpful.
