Nipple eczema: A systematic review and practical recommendations.

Area of Science:

• Dermatology
• Breast Health

Background:

• Nipple eczema impacts quality of life and breastfeeding.
• Common types include atopic, irritant, and allergic contact eczema.

Approach:

• Systematic PubMed search combined with manual database and textbook searches.
• Critically appraised 33 manuscripts on nipple eczema.

Key Points:

• Differential diagnoses include psoriasis, candidiasis, and Paget's disease.
• Topical corticosteroids or calcineurin inhibitors are safe during lactation.
• Avoiding triggers and using emollients are key management strategies.

Conclusions:

• Nipple eczema management requires prompt symptom control.
• Treatment should consider impact on breastfeeding and quality of life.