![]() Eight of our 12 mothers and their infants received multiple courses of antifungal therapy without relief before the diagnosis was made. It is not unusual for mothers who have Raynaud’s phenomenon of the nipple to be treated inappropriately and often repeatedly for C albicans infections with topical or systemic antifungal agents. ![]() Poor positioning and poor attachment or latch may cause blanching of the nipple and pain during breastfeeding, but 10 of the 12 mothers were evaluated by experienced lactation consultations, who were sure that inappropriate breastfeeding techniques were not contributing factors.īecause the breast pain associated with Raynaud’s phenomenon is so severe and throbbing, it is often mistaken for Candida albicans infection. ![]() All women suffered from extremely painful breastfeeding, with symptoms precipitated by cold temperatures and associated with blanching of the nipple followed by cyanosis and/or erythema. Of the 12 women, 11 were seen between June 2002 and May 2003. We report 12 women who breastfed 14 infants, all of whom were seen in 1 pediatric practice and 1 lactation consultation center in San Francisco, California, within the past 3 years. In 1997, Lawlor-Smith and Lawlor-Smith reported 5 women with Raynaud’s phenomenon associated with breastfeeding, but there are few other case reports, and none report the possible relationship between Raynaud’s phenomenon of the nipple and previous breast surgery. Raynaud’s phenomenon has been reported to affect the nipples of breastfeeding mothers and is recognized by many lactation experts as a treatable cause of painful breastfeeding. Maurice Raynaud first described the vasospasm of arterioles in 1862, and Raynaud’s phenomenon is now felt to be common, affecting up to 20% of women of childbearing age.
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