From the Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, 330 Brookline Ave, LY318, Boston, MA 02215.
In December 1999, Ruth A. Lawrence, MD, discussed the differential diagnosis
and management of breast and nipple tenderness associated with breastfeeding
in a 35-year-old woman who had just delivered her first child.1
Pregnancy and delivery were uneventful, but 24 hours following parturition
the patient, Mrs C, developed bilateral nipple tenderness associated with
cracked skin and bleeding. After 4 days of slow improvement, Mrs C noted a
lump in her breast near a nipple, skin soreness, and low-grade fever. She
did not take antibiotics offered to her via a telephone consultation and turned
for advice to a pediatrician who advocated homeopathic medicine. She used
3 herbal preparations—Echinacea, belladonna, and Phytolacca—and
her symptoms resolved 24 hours later.
Delbanco T, Hartman EE. A 35-Year-Old Woman Experiencing Difficulty With Breastfeeding, 18 Months Later. JAMA. 2001;286(16):2022. doi:10.1001/jama.286.16.2022