Case Reports

Raynaud Phenomenon of the Nipple: A Clinical Case Report

Abstract

Objective: In Raynaud's phenomenon of the nipple there is a change in color, accompanied by pain or discomfort during breastfeeding.
Case report: A 29-years old female patient, breastfeeding, develops a severe bilateral nipple pain during and after breastfeeding and biphasic change in nipple color, with difficulties in the breastfeeding technique. She was medicated with nifedipine and recommended application of warm compresses to the nipples and use of electric breast pump, showing complete resolution after four weeks of treatment.
Conclusion: Raynaud's phenomenon of the nipple should be considered in breastfeeding women who report nipple pain or discomfort. In clinical practice, nipple pain is a very frequent complaint, and responsible for many cases of early abandonment of breastfeeding. It is therefore essential to make an early diagnosis and implement a correct and immediate treatment.

1. Barrett ME, Heller MM, Stone HF, Murase JE. Raynaud phenomenon of the nipple in breastfeeding mothers: an underdiagnosed cause of nipple pain. JAMA Dermatol. 2013;149(3):300-6.
2. Morino C, Winn SM. Raynaud’s phenomenon of the nipples: an elusive diagnosis. J Hum Lact. 2007;23(2):191-3.
3. Garrison CP. Nipple vasospasms, Raynaud’s syndrome, and nifedipine. J Hum Lact. 2002;18(4):382-5.
4. Wu M, Chason R, Wong M. Raynaud’s phenomenon of the nipple. Obstet Gynecol. 2012;119(2 Pt 2):447-9.
5. Anderson JE, Held N, Wright K. Raynaud’s phenomenon of the nipple: a treatable cause of painful breastfeeding. Pediatrics. 2004;113(4): e360-4.
6. Neville MC, Anderson SM, McManaman JL, Badger
TM, Bunik M, Contractor N, et al. Lactation and neonatal nutrition: defining and refining the critical questions. J Mammary Gland Biol Neoplasia. 2012;17(2): 167-88.
7. World Health Organization. Global strategy for infant and young child feeding. Geneva (Switzerland):WHO; 2003.
Files
IssueVol 17, No 2 (June 2023) QRcode
SectionCase Reports
DOI https://doi.org/10.18502/jfrh.v17i2.12876
Keywords
Nipples Breast Feeding Raynaud Disease Vasoconstriction Nifedipine
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Quental C, Brito D, Sobral J, Macedo AM. Raynaud Phenomenon of the Nipple: A Clinical Case Report. J Family Reprod Health. 2023;17(2):113-115.