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Article Dans Une Revue Breast Journal Année : 2019

Idiopathic granulomatous mastitis responding to oral prednisone


A 33-year-old woman presented with left breast chronic wound. Her past medical history was unremarkable, except tobacco use (<10 packs-years of cigarettes). A sudden inflammatory rash of superolateral quadrant of left breast appeared from the sixth month of her second pregnancy. She had no fever (Figure 1A). Local inflammation decreased under a treatment with cloxacillin for 5 days, but was followed by a cardboard aspect of the skin. The left breast remained painful until she gave birth on 22 September. Then, she started to breastfeed her newborn. On 11th October, breast inflammation recurred, and breastfeeding was stopped. On 22nd October, a fistulation with purulent and milky discharge regarding inflammatory breast quadrant appeared (Figure 1B,C). A second fistulation hole appeared on 30th October. Repeated breast ultrasounds showed multiple pseudocysts with a dense network of vessels
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Dates et versions

hal-03352612 , version 1 (23-09-2021)



Radjiv Goulabchand, Hélène Perrochia, Emilie Aubert-Bringer, Phi Do Trinh, Philippe Guilpain. Idiopathic granulomatous mastitis responding to oral prednisone. Breast Journal, 2019, 26 (2), pp.281-283. ⟨10.1111/tbj.13552⟩. ⟨hal-03352612⟩
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