Recurrent Breast Abscesses in Type 2 Diabetes: A Diagnostic Challenge of Diabetic Mastopathy

Diabetic mastopathy (DMP) is a rare inflammatory disease of the breast that poses diagnostic challenges due to its clinical resemblance to breast carcinoma. Our patient, a 36-year-old woman with longstanding, uncontrolled diabetes, was encumbered with recurrent breast swellings that had become painful. Based on her clinical and laboratory findings, a provisional diagnosis of abscess was made, for which 'incision and drainage' was carried out. When repeated episodes yielded sterile cultures, a biopsy was made, thereby confirming a diagnosis of DMP. The patient was treated conservatively to optimize glycemic control and correct thyroid dysfunction. She was provided reassurance and was counselled regarding her condition to improve treatment adherence. Recurrence was not reported during subsequent follow-up visits.  Although its occurrence is rare, DMP should be considered a differential in the diagnosis of breast swellings in patients affected by diabetes mellitus. Timely identification of the disease prevents unnecessary surgical intervention and significantly reduces patient anxiety.