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Breast and Nipple Dermatoses During Lactation

Hamish Moore1,2, Annabel Stevenson1,2,3

  • 1Faculty of Health and Medical Sciences, University of Adelaide, Adelaide, South Australia, Australia.

The Australasian Journal of Dermatology
|August 16, 2025
PubMed

Lactation and breastfeeding can present both psychological and physical challenges for breastfeeding mothers. In addition, many nursing mothers will also suffer from breast and nipple dermatoses during this period, compounding these difficulties. Common causes of breast and nipple dermatitis during lactation include eczema, psoriasis, mastitis, mammary Paget's disease, Raynaud's phenomenon, and herpes virus infection, all of which may arise or be exacerbated during breastfeeding. This article summarises the common causes of breast and nipple dermatitis during lactation, as well as their investigation and management. In addition, we review the safety of common dermatological medications in this population, accounting for the unique consideration of the breastfeeding infant.

Keywords:
breast feedingdermatitiseczemalactationmastitismedication safetypsoriasis

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