Breast-feeding mothers with Raynaud phenomenon of the nipple demonstrated pain relief with appropriate therapy, and nifedipine was an effective medication for patients who could tolerate it, according to study results.In a retrospective study, researchers in California reviewed 22 cases of nursing mothers (aged 26 to 43 years) diagnosed as having Raynaud phenomenon of the nipple from 2004 through 2010. Diagnostic criteria included chronic deep breast pain (lasting 4 weeks or longer) that responded to therapy for Raynaud phenomenon and two of the following symptoms: color changes of the nipple, especially with cold exposure, cold sensitivity or color changes of the hands or feet with cold exposure and failed therapy with oral antifungals. Failed treatment rate of Candida mastitis, improvement rate of symptoms with the vasodilator nifedipine and overall rate of symptom improvements with treatment for Raynaud phenomenon were main outcome measures.
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