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2012, Number 2

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Rev Cuba Endoc 2012; 23 (2)

Telorragia en el lactante

Sáez GJ, Arcas EG, Valentín RCL, Ruano AE
Full text How to cite this article

Language: Spanish
References: 24
Page: 150-156
PDF size: 99.03 Kb.


Key words:

infant, nipple discharge, primary duct ectasia, treatment.

ABSTRACT

Despite the fact that duct ectasia is the most common cause of bloody nipple discharge in neonates and infants, this rare entity still surprises and causes stress on those who observe it. A male 8 weeks-old patient was presented. His parents took him to the endocrinology service because his two nipples were bleeding. His breasts, areolae, and nipples showed normal characteristics, just bleeding when squeezed; the physical exam did not show any alteration. The breast echography was normal and the cytological study confirmed the diagnosis of primary duct ectasia. The bleeding ceased spontaneously and he completely recovered after several weeks. At present, the patient is 3 years and 8 months-old and does not show any new manifestation. Due to the rareness of this illness in neonates and infants, data are very incomplete in medical literature. Other descriptions of this uncommon disease have not been found in the Cuban national literature, so this encouraged us to present this clinical case.


REFERENCES

  1. Richards T, Hunt A, Courtney S, Umeh H. Nipple discharge: a sign of breast cancer? Ann R Coll Surg Engl. 2007 Mar;89(2):124-6.

  2. Fernández Fernández S, Pinto Fuentes I, Vázquez López M, Guijarro Rojas M, Arregui Sierra A. Sangrado por el pezón en un lactante. An Pediatr (Barc). 2006;64:109-10.

  3. Berkowitz CD, Inkelis SH. Bloody nipple discharge in infancy. J Pediatr. 1983;103:755-6.

  4. Böber E, Ozer E, Akgür F, Büyükgebiz A. Bilateral breast masses and bloody nipple discharge in a two year-old boy. J Pediatr Endocrinol Metab. 1996 May-Jun;9(3):419-21.

  5. Kitahara S, Wakabayashi M, Shiba T, Nonaka K, Nonaka H, Kobayashi I. Mammary duct ectasia in children presenting bloody nipple discharge: a case in a pubertal girl. J Pediatr Surg. 2001 Jun;36(6):E2.

  6. Miller JD, Brownell MD, Shaw A. Bilateral breast masses and bloody nipple discharge in a 4-year-old boy. J Pediatr. 1990;116:744-7.

  7. Menken KU, Roll C. Bloody nipple discharge in a 3-year-old girl. Eur J Pediatr. 1993 Dec;152(12):1047.

  8. Sigalas J, Roilides E, Tsanakas J, Karpouzas J. Bloody nipple discharge in infants. J Pediatr. 1985;107(3):484.

  9. Gershin T, Mogilner JG. Bloody nipple discharge in an infant. Harefuah. 1992 Apr 15;122(8):505-6,551.

  10. George AT, Donnelly PK. Bloody nipple discharge in infants. Breast. 2006 Apr;15(2):253-4.

  11. Weimann E. Clinical management of nipple discharge in neonates and children. J Paediatr Child Health. 2003 Mar;39(2):155-6.

  12. Stringel G, Perelman A, Jimenez C. Infantile mammary duct ectasia: a cause of bloody nipple discharge. J Pediatr Surg. 1986 Aug;21(8):671-4.

  13. Bayrak IK, Yalin T, Nural MS, Ceyhan M. Mammary duct ectasia in infant breast with bloody nipple discharge: sonographic findings. J Clin Ultrasound. 2008 May;36(4):229-30.

  14. De Praeter C, De Coen K, Vanneste K, Vanhaesebrouck P. Unilateral bloody nipple discharge in a two-month-old male. Eur J Pediatr. 2008 Apr;167(4):457-9.

  15. Kelly VM, Arif K, Ralston S, Greger N, Scott S. Bloody nipple discharge in an infant and a proposed diagnostic approach. Pediatrics. 2006 Apr;117(4):e814-6.

  16. Al-Arfaj AA, Chir AF, Mitra DK, Sowayan SA. Bloody nipple discharge in a 4-year old child. Ann Saudi Med. 2003 May-Jul;23(3-4):175-6.

  17. Phan D, N'Guyêt H, David L. Bloody nipple discharge in infants and young children. Arch Pediatr. 1996 Feb;3(2):194.

  18. Fenster DL. Bloody nipple discharge. J Pediatr. 1984;104(4):640.

  19. Schwartz RH, Windreich R, Weaver A. Painless bloody nipple discharge in a 16-month-old infant. Clin Pediatr (Phila). 2006 Nov;45(9):859-60.

  20. Leung AK, Kao CP. Mammary duct ectasia: a cause of bloody nipple discharge. J Natl Med Assoc. 2004 Apr;96(4):543-5.

  21. Imamoglu M, Cay A, Reis A, Ozdemir O, Sapan L, Sarihan H. Bloody nipple discharge in children: possible etiologies and selection of appropriate therapy. Pediatr Surg Int. 2006 Feb;22(2):158-63.

  22. Ballesio L, Maggi C, Savelli S, Angeletti M, Rabuffi P, Manganaro L, et al. Adjunctive diagnostic value of ultrasonography evaluation in patients with suspected ductal breast disease. Radiol Med (Torino). 2007 Apr;112(3):354-65.

  23. Corapçioðlu F, Akanse G, Sarper N, Taneri H, Yildiz K. Mammary ductal ectasia as cause of bloody nipple discharge in a 28-month-old boy. Turk J Pediatr. 2005 Oct-Dec;47(4):79-81.

  24. García CJ, Espinoza A, Dinamarca V, Navarro O, Daneman A, García H, et al. Breast US in children and adolescents. Radiographics. 2000 Nov-Dec;20(6):1605-12.




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Rev Cuba Endoc. 2012;23