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I have been unable to find any reference in literature to congenital occlusion of the lacteal openings, and therefore report a case in a primipara, aged 33, whose breasts and nipples showed no apparent abnormality.
Mrs. T. W. gave birth to a strong, vigorous boy of 8 pounds (3.6 kg.). The puerperium, as the labor, was uneventful except at the beginning of the third day, when she began to complain of her breasts. Examination disclosed them to be tender to touch, and moderately engorged. The pulse and temperature were normal. At this time the baby became fussy, and at feeding intervals would nurse ravenously with no apparent satisfaction. On the fourth day the mother complained bitterly at these nursing periods, and a second examination revealed the breasts to be very large, tense and painful. There was no local heat or infiltration. The temperature remained normal; the pulse became slightly accelerated.
Sheets OB. ATRESIA OF THE NIPPLES. JAMA. 1923;80(8):551. doi:10.1001/jama.1923.26430350004013e
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