The following is an excerpt....
BASICS
Description
- Collection of pus, usually localized
- Can be associated with lactation or fistulous tracts secondary to squamous epithelial neoplasm or duct occlusion
- System(s) affected: Skin/Exocrine
- Synonym(s): Mammary abscess; peripheral breast abscess; subareolar abscess; puerperal abscess
ALERT:
Pregnancy Considerations
- Most commonly associated with postpartum lactation
Epidemiology
Predominant age:
- Puerperal abscess: Premenopausal
- Subareolar abscess: Postmenopausal
- Predominant sex: Female
Incidence
- 0.1–0.5% of breast-feeding women
- Puerperal abscess rare after 1st 6 weeks of lactation
Risk Factors
- Puerperal mastitis: 5–11% go on to abscess (most often due to inadequate therapy). Risk factors for mastitis are those that result in milk stasis (infrequent feeds, missing feeds).
- Poor latch, damaged nipple, illness in mother or baby, rapid weaning ...
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